Individual
KINGSLY FONDAM MBAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 N CAPITOL ST NW, WASHINGTON, DC 20002-3342
(240) 224-6521
Mailing address
2525 STANDIFER PL, LANHAM, MD 20706-2679
(240) 224-6521
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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