Individual
CLINTON K ANYAMELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7200 EDEN BROOK DR APT D202, COLUMBIA, MD 21046-1459
(240) 579-0807
Mailing address
7200 EDEN BROOK DR APT D202, COLUMBIA, MD 21046-1459
(240) 579-0807
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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