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Calvin Tagne Ouabo

Case Manager/Care Coordinator in Lanham, MD. Individual provider (NPI-1).

NPI number1366123796
StatusActive
Last updated in NPPESJul 27, 2023

Details

NPI
1366123796
Entity type
Individual (NPI-1)
Name
Calvin Tagne Ouabo
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 27, 2023
Certification date
Jul 27, 2023
Last updated
Jul 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

10328 Broom Ln
Lanham, MD 20706-2132

Phone 240-241-2690

Mailing address

10328 Broom Ln
Lanham, MD 20706-2132

Phone 240-241-2690

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