Individual
MIRANDA ENSAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
609 ASPEN LN, EDGEWOOD, MD 21040-2701
(320) 447-6144
Mailing address
609 ASPEN LN, EDGEWOOD, MD 21040-2701
(320) 447-6144
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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