Individual
ADIJAT OGUNYEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
6 PARKLANE BLVD, SUITE 695, DEARBORN, MI 48126-2696
(313) 271-8170
(313) 271-8353
Mailing address
6 PARKLANE BLVD, SUITE 695, DEARBORN, MI 48126
(313) 271-8170
(313) 271-8353
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801090452
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801090452
MICHIGAN LICENSE
MI
Enumeration date
12/18/2012
Last updated
12/18/2012
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