Individual
MOSES MWOREKO KUSHABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2003 ALLEN PL NW APT 101, WASHINGTON, DC 20009-5263
(202) 706-9155
Mailing address
2003 ALLEN PL NW APT 101, WASHINGTON, DC 20009-5263
(202) 706-9155
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25005
MD
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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