Individual
MR. JAMES PETERSON MONGO DJOPGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13920 CASTLE BLVD APT 606, SILVER SPRING, MD 20904-4959
(301) 760-6165
Mailing address
13920 CASTLE BLVD APT 606, SILVER SPRING, MD 20904-4959
(301) 760-6165
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
MD
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
10/16/2023
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