Individual
MRS. GANIYAT HALLE BADMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
11779 SOMERSET AVE STE 12, PRINCESS ANNE, MD 21853-1271
(443) 754-2164
(866) 993-1076
Mailing address
11779 SOMERSET AVE STE 12, PRINCESS ANNE, MD 21853-1271
(443) 754-2164
(866) 993-1076
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22242
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
07/22/2011
Last updated
07/24/2019
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