Individual
MODUPEOLA OLUREMI SOREMEKUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCASA
Contact information
Practice address
2716 TROXLER RD, BURLINGTON, NC 27215-9187
(336) 570-0104
Mailing address
2716 TROXLER RD, BURLINGTON, NC 27215-9187
(133) 657-0010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-22905
NC
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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