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Individual

MRS. COLLETTE E OGBEIWI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COUNSELOR

Contact information

Practice address
5708 BELLONA AVE, BALTIMORE, MD 21212-0022
(443) 750-4967
(443) 703-7550
Mailing address
5708 BELLONA AVE, BALTIMORE, MD 21212-0022
(443) 750-4967

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
185BF9K9
MD
Enumeration date
06/12/2018
Last updated
06/21/2018
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