DIVINE FOMBU, CSW

Case Manager/Care Coordinator

Active Individual
NPI: 1891051413

Practice Address

13817 BRIARWOOD DR APT 1123
Laurel, MD 20708

Phone: (240) 476-3253

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1891051413 is the National Provider Identifier for DIVINE FOMBU, CSW, a Case Manager/Care Coordinator provider located in Laurel, MD. This NPI was enumerated on April 9, 2012.
DIVINE FOMBU, CSW practices at 13817 BRIARWOOD DR APT 1123, Laurel, MD 20708.

Quick Facts

NPI
1891051413
Type
Individual
Enumerated
Apr 9, 2012
Last Updated
Dec 13, 2023

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