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Organization
AUDIENCE WELLNESS AND BEHAVIORAL HEALTHCARE LLC
Active
Organization
AUDIENCE WELLNESS AND BEHAVIORAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND CHIKADIBIA ONUKOGU PMHNP (OWNER)
(443) 909-4407
Entity
Organization
Contact information
Practice address
9616 ORPIN RD APT 102, RANDALLSTOWN, MD 21133-2473
(443) 909-4407
Mailing address
9616 ORPIN RD APT 102, RANDALLSTOWN, MD 21133-2473
(443) 909-4407
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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