Individual
CLINTON SIMAZE FORYAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1818 NEW YORK AVE NE, WASHINGTON, DC 20002-1848
(240) 636-7308
Mailing address
8733 CONTEE RD APT 203, LAUREL, MD 20708-1917
(240) 636-7308
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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