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Individual
OMOTAYO JOANNE BARUWA
Active
Individual
OMOTAYO JOANNE BARUWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16498
TX
101YP2500X
Professional Counselor
Primary
PC015000
PA
Other
Enumeration date
04/05/2023
Last updated
04/22/2024
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