Individual
MIKELL BOZEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2041 MLK JR AVE SE, WASHINGTON, DC 20020
(202) 717-9238
Mailing address
2041 MLK JR AVE SE, 234, WASHINGTON, DC 20020
(202) 717-9238
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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