Individual
ILANI IGHEDOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
6802 MCCLEAN BLVD, BALTIMORE, MD 21234-7260
(443) 413-9199
Mailing address
775 MCKEWIN AVE, BALTIMORE, MD 21218-2545
(780) 914-8009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18451
MD
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/20/2017
Last updated
05/25/2021
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