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Individual

AKOU BASSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4660 MARTIN LUTHER KING JR AVE SW STE A13, WASHINGTON, DC 20032-4880
(202) 318-0179
Mailing address
134 MICHIGAN AVE NE APT 43Q, WASHINGTON, DC 20017-1057
(202) 845-2681

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
09/05/2023
Last updated
09/05/2023
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