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Individual

MODINAT ADEKEMI ODUBEKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3235 BELAIR RD STE B, BALTIMORE, MD 21213-1227
(443) 740-4858
Mailing address
5406 FAIR OAKS AVE STE B, BALTIMORE, MD 21214-1903
(443) 740-4858

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CACAD2226
MD

Other

Enumeration date
04/10/2023
Last updated
04/28/2023
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