Individual
OMAR AHMED FAWZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1707 KALORAMA RD NW, WASHINGTON, DC 20009-2648
(202) 765-4405
Mailing address
1215 INGRAHAM ST NW, WASHINGTON, DC 20011-3601
(202) 258-7477
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGP7714
MD
101YM0800X
Mental Health Counselor
Primary
LGPC00308
DC
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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