Individual
CHARLIE LAURE TCHEUTCHOUA FOPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11405 PROSPECT CT, GLENN DALE, MD 20769-9451
(240) 413-0216
Mailing address
11405 PROSPECT CT, GLENN DALE, MD 20769-9451
(240) 413-0216
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
DC
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
HHA13316
DC
Other
Enumeration date
07/02/2018
Last updated
04/19/2023
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