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Individual
LINDA OWUSUAA IYEBOTE
Active
Individual
LINDA OWUSUAA IYEBOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
21638
MD
104100000X
Social Worker
LG50081492
DC
1041C0700X
Clinical Social Worker
Primary
LC50082015
DC
Other
Enumeration date
06/01/2017
Last updated
06/05/2019
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