Individual
MANGA OMASOMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
2616 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7715
(202) 724-7666
Mailing address
307 LANDING DR, FREDERICKSBURG, VA 22405-1264
(518) 512-6220
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG50082208
DC
Other
Enumeration date
07/12/2019
Last updated
11/27/2023
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