Individual
FATMATA EGBULEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2903 MILLS AVE NE, WASHINGTON, DC 20018-2542
(240) 462-0453
Mailing address
PO BOX 10223, WASHINGTON, DC 20018-0223
(202) 365-8637
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
DC
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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