Individual
BOMA FABIA EHANIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5010 REGENCY PL STE 203, WHITE PLAINS, MD 20695-3088
(240) 427-3552
Mailing address
17 STRAW HAT RD APT 3A, OWINGS MILLS, MD 21117-7218
(410) 802-8780
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29721
MD
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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