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Individual
OLATUNJI ABIODUN ODUSANWO
Active
Individual
OLATUNJI ABIODUN ODUSANWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
057740
NY
1041C0700X
Clinical Social Worker
Primary
057740
NY
1041S0200X
School Social Worker
057740
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02167866
—
NY
Enumeration date
04/05/2006
Last updated
08/25/2020
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