Individual provider · NPI-1

Johnpaul Asaba Achendungbong II

Social Worker, Clinical · Bowie, MD

NPI number1285341842
StatusActive
Last updated in NPPESNov 3, 2022

Details

NPI
1285341842
Entity type
Individual (NPI-1)
Name
Johnpaul Asaba Achendungbong II
Sex
Male
Sole proprietor
No
Enumeration date
Nov 3, 2022
Certification date
Nov 3, 2022
Last updated
Nov 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

1506 Fairlakes Pl
Bowie, MD 20721-3102

Phone 240-938-3394

Mailing address

1506 Fairlakes Pl
Bowie, MD 20721-3102

Phone 240-938-3394

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