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Individual
OUMOU WAGUE
Active
Individual
OUMOU WAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
116288-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000
—
NY
Enumeration date
06/23/2022
Last updated
06/23/2022
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