Individual
CARLLISTUS OBENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
6200 KANSAS AVE NE, WASHINGTON, DC 20011-1508
(202) 722-4421
Mailing address
8671 HAYSHED LN, COLUMBIA, MD 21045-2620
(410) 908-1365
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
DC
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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