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Individual

AGHANWI AWAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8346 TIMBERLAKE CT, SEVERN, MD 21144-2521
(240) 486-7573
Mailing address
8346 TIMBERLAKE CT, SEVERN, MD 21144-2521
(240) 486-7573

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
3747P1801X
Personal Care Attendant
MT0155795
MD

Other

Enumeration date
05/03/2023
Last updated
09/13/2024
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