Individual
ALEX KEVIN TEGWENDE SOBGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7090 SAMUEL MORSE DR, COLUMBIA, MD 21046-3442
(855) 935-3691
Mailing address
902 PHILLIP POWERS DR, LAUREL, MD 20707-3510
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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