Individual
LUM WABARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4907 RANDY CT, RIVERDALE, MD 20737-1786
(240) 260-8308
Mailing address
4907 RANDY CT, RIVERDALE, MD 20737-1786
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
06/13/2023
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