Individual
DR. AFIYA MANGUM MBILISHAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1115 MASSACHUSETTS AVE NW, WASHINGTON, DC 20005-4604
(516) 238-7333
Mailing address
3300 E WEST HWY, APT 355, HYATTSVILLE, MD 20782-2176
(516) 238-7333
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1000845
DC
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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