Individual
ROGER SERGES TCHOUASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4302 DAY LILY DR, BOWIE, MD 20720-4241
(240) 688-5875
Mailing address
12281 REVOLUTION CT, WALDORF, MD 20602-4226
(240) 688-5875
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
DC
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
05/19/2025
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