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Individual

GANIYAT I BALOGUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
903 BRIGHTSEAT RD, LANDOVER, MD 20785-4725
(202) 215-1963
Mailing address
903 BRIGHTSEAT RD, LANDOVER, MD 20785-4725

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
31697
MD

Other

Enumeration date
08/12/2024
Last updated
08/12/2024
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