Individual
ILYNNE ETUGE EBANE TONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 VARNUM ST NE STE 215, WASHINGTON, DC 20017-2106
(469) 988-9041
Mailing address
14725 4TH ST UNIT 447, LAUREL, MD 20707-3986
(469) 988-9041
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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