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Individual

FLORENT TIOGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2811 PENNSYLVANIA AVE SE # L, WASHINGTON, DC 20020-3865
(240) 432-1338
Mailing address
13510 GREENCASTLE RIDGE TER APT 303, BURTONSVILLE, MD 20866-2164
(240) 432-1338

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator
Primary
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
04/03/2023
Last updated
07/19/2023
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