Individual
DENIS FONGAN KONGNYUY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3430 DODGE PARK RD APT 104, HYATTSVILLE, MD 20785-2055
(240) 825-7504
Mailing address
3430 DODGE PARK RD APT 104, HYATTSVILLE, MD 20785-2055
(240) 825-7504
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
09/05/2023
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