Individual
MS. AWA KEISHA COULIBALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8609 2ND AVE STE 506B, SILVER SPRING, MD 20910-3362
(240) 398-4238
Mailing address
8609 2ND AVE STE 506B, SILVER SPRING, MD 20910-3362
(240) 398-4238
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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