Individual
BRICE DIAGONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8302 JENNEL CT, SEVERN, MD 21144-2940
(240) 701-6406
Mailing address
8302 JENNEL CT, SEVERN, MD 21144-2940
(240) 701-6406
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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