Provider Demographics
NPI:1144032798
Name:ADDO, ESTHER DEDE
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:DEDE
Last Name:ADDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5680 STEVENS FOREST RD APT 52
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-3313
Mailing Address - Country:US
Mailing Address - Phone:443-871-5925
Mailing Address - Fax:
Practice Address - Street 1:5680 STEVENS FOREST RD APT 52
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-3313
Practice Address - Country:US
Practice Address - Phone:443-871-5925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator