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Individual

AHMADU UMARR BENYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
13207 SHAWNEE LN, CLARKSBURG, MD 20871-9505
(240) 423-4775
Mailing address
13207 SHAWNEE LN, CLARKSBURG, MD 20871-9505
(240) 423-4775

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
B500035824131
MD
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
06/12/2023
Last updated
06/12/2023
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