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NPI Code Detail

MEDICARE: MS. MWANDIONANJI CHIFUNDO BANDAWE LGPC

MEDICARE: MS. MWANDIONANJI CHIFUNDO BANDAWE LGPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLGPC00280DC

General Provider Information

NPI Number : 1285288159
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MWANDIONANJI CHIFUNDO BANDAWE LGPC
Provider Business Mailing Address
First Line : 1240 HOLBROOK TER NE APT 201
Second Line :
City : WASHINGTON
State : DC
Zip : 20002-2752
Country : US
Telephone Number : 240-244-9288
Fax Number :
Provider Business Practice Location Address
First Line : 1420 COLUMBIA RD NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-4779
Country : US
Telephone Number : 240-277-9288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2019
Last Update Date : 07/30/2019

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