Individual
FAIRAILA COULIBALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6323 GEORGIA AVE NW, WASHINGTON, DC 20011-1101
(301) 337-0936
Mailing address
8430 WINDING TRL, LAUREL, MD 20724-1427
(301) 337-0936
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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