DIVINE FOMBU

LAUREL, MD
NPI1891051413
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251B00000X Case Management
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2012-04-09
Last Update Date2026-05-18
Business Address
DIVINE FOMBU CSW
13817 BRIARWOOD DR APT 1123
LAUREL, MD 20708-1345
Phone number: 240-476-3253
Mailing Address
DIVINE FOMBU CSW
1706 HAMPSHIRE GREEN LN
SILVER SPRING, MD 20903-2416
Phone number: 202-545-0935
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