Individual
SAMUEL BOMO KOROMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 BELLEVUE ST SE, WASHINGTON, DC 20032-6030
(202) 562-4939
Mailing address
1140 3RD ST NE, WASHINGTON, DC 20002-6274
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC50078067
DC
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
12/21/2023
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