Individual
MENGE EKILLI MARKMELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9879 SELKIE LN, WALDORF, MD 20601-3786
(240) 467-0819
Mailing address
9879 SELKIE LN, WALDORF, MD 20601-3786
(240) 467-0819
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/07/2017
Last updated
03/27/2025
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