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Individual
TENICIA ODUSANYA
Active
Individual
TENICIA ODUSANYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
29502
MD
1041C0700X
Clinical Social Worker
Primary
29502
MD
1041S0200X
School Social Worker
—
—
Other
Enumeration date
02/20/2023
Last updated
08/07/2026
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