NPI 1891051413

Divine Fombu, CSW

Practitioner Case Management Agency Laurel, MD

Practice location

Address: 13817 Briarwood Dr APT 1123, Laurel, MD 20708-1345
Phone: (240) 476-3253
Mailing address: 1706 Hampshire Green Ln, Silver Spring, MD 20903-2416

Registered specialties (2)

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1891051413
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Apr 2012
Record last updated: 18 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.