Charlie Laure Tcheutchoua Fopa
Case Manager/Care Coordinator in Glenn Dale, MD. Individual provider (NPI-1).
NPI number1982190963
StatusActive
Last updated in NPPESApr 19, 2023
Details
- NPI
- 1982190963
- Entity type
- Individual (NPI-1)
- Name
- Charlie Laure Tcheutchoua Fopa
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 2, 2018
- Certification date
- Apr 19, 2023
- Last updated
- Apr 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 104100000X | Social Worker | – | DC | |
| 374U00000X | Home Health Aide | hha13316 | DC |
Practice location
11405 Prospect CtGlenn Dale, MD 20769-9451
Phone 240-413-0216
Mailing address
11405 Prospect CtGlenn Dale, MD 20769-9451
Phone 240-413-0216
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All 24 Case Manager/Care Coordinator providers in Glenn Dale · All 394 providers in Glenn Dale
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