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1538869417
MBALU WATAH FOFANAH
WASHINGTON, DC
NPI
1538869417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2023-03-08
Last Update Date
2023-09-12
Business Address
Miss MBALU WATAH FOFANAH CSW
2811 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020-3865
Phone number: 202-894-6811
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Mailing Address
Miss MBALU WATAH FOFANAH CSW
9000 MANCHESTER RD APT 22
SILVER SPRING, MD 20901-4124
Phone number: 240-486-4237
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