Individual
ADENIKE OMOLOLA OMISORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1900 N HOWARD ST STE 300, BALTIMORE, MD 21218-5909
(443) 438-6742
(443) 773-5624
Mailing address
1900 N HOWARD ST STE 300, BALTIMORE, MD 21218-5909
(443) 438-6742
(443) 773-5624
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
25214
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38-3876389
—
MD
Enumeration date
08/14/2019
Last updated
08/14/2019
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