Individual
MISS NGOZI CHINWE ANEKPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N/A
Contact information
Practice address
1105 POST WOOD DR, DENTON, TX 76210
(302) 437-5573
Mailing address
12353 W HEATHERBRAE DR, AVONDALE, AZ 85392-4280
(302) 437-5573
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
35-2370319
TX
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
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Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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