Individual
GOODLUCK OMUYEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 POWELL LN, UPPER DARBY, PA 19082-3310
(610) 350-1727
Mailing address
110 POWELL LN, UPPER DARBY, PA 19082-3310
(610) 350-1727
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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