Individual
MRS. COLLETTE E OGBEIWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COUNSELOR
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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