Individual
DALLYA KEKOUNOU DJUINE KOGNOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2041 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7024
(202) 457-8450
Mailing address
13017 ROBINS NEST TER, GERMANTOWN, MD 20874-1828
(240) 817-6652
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/21/2023
Last updated
09/18/2023
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