Individual
MAHOGANI WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2632 MARTIN LUTHER KING JR AVE SE APT 415, WASHINGTON, DC 20020-7739
(202) 847-9638
Mailing address
2632 MARTIN LUTHER KING JR AVE SE APT 415, WASHINGTON, DC 20020-7739
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/23/2016
Last updated
12/23/2016
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