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Individual

TESFA M. GEMEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2027 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7007
(202) 506-5529
Mailing address
6123 SARGENT RD, HYATTSVILLE, MD 20782-1529
(202) 468-2191

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
104100000X
Social Worker
171M00000X
Case Manager/Care Coordinator
Primary
174400000X
Specialist
251B00000X
Case Management Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000
N/A.
Enumeration date
11/30/2022
Last updated
11/30/2022
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