Individual
DAVID NKONG FOMANKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LGSW, LICSW
Contact information
Practice address
2759 MARTIN LUTHER KING JR AVE SE STE 301, WASHINGTON, DC 20032-2651
(202) 827-9961
(202) 827-9963
Mailing address
7711 RIVERDALE RD APT 102, NEW CARROLLTON, MD 20784-3940
(443) 985-7985
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC200002967
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013255479
—
DC
05
—
072105216
—
DC
Enumeration date
02/03/2023
Last updated
01/07/2025
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