Individual
NGOZI ROSE EZIKE-FATORMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6043 HUDSON RD STE 355, SAINT PAUL, MN 55125-1017
(612) 242-6609
Mailing address
6043 HUDSON RD STE 355, SAINT PAUL, MN 55125-1017
(612) 242-6609
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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