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Individual
MR. CHARLES EKPEYONG UDOMA
Active
Individual
MR. CHARLES EKPEYONG UDOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED COUNSELOR
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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