Individual
UTSU UGBONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4017 MINN AVE NE, WASHINGTON, DC 20019-3541
(202) 823-9669
Mailing address
151 WESTWAY, GREENBELT, MD 20770-1934
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
04/10/2023
Last updated
07/16/2025
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