Individual
NIGEL O'DON MOFFITT-SHABAZZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2041 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7024
(202) 547-8450
(202) 388-4339
Mailing address
4218 TULSA DR, GREENSBORO, NC 27406-6343
(336) 965-1396
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG200003316
DC
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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