Individual
IFEOMA TONIA EZUGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4909 WATERS EDGE DR STE 104, RALEIGH, NC 27606-2462
(919) 823-5819
Mailing address
12100 BEDFORD WOODS DR APT 305, RALEIGH, NC 27614-6886
(281) 690-2126
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P014991
NC
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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