Individual
BENEDICT C IJOMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
4607 69TH AVE, HYATTSVILLE, MD 20784-2123
(301) 386-0014
(301) 386-0018
Mailing address
4607 69TH AVE, HYATTSVILLE, MD 20784-2123
(301) 386-0014
(301) 386-0018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
09832
MD
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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