Individual
MR. JEREMIAH BABATUNDE ODUKOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1807 E PRESTON ST, BALTIMORE, MD 21213-3131
(410) 276-2123
(410) 276-4070
Mailing address
16308 DAHL RD, LAUREL, MD 20707-2706
(804) 385-7476
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26378
MD
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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