Individual
BLUE OSIBOGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2130 KINGSTON CT SE STE F, MARIETTA, GA 30067-8952
(404) 913-6724
Mailing address
2130 KINGSTON CT SE STE F, MARIETTA, GA 30067-8952
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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