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Individual

IJEOMA J MADUBATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
10 N GREENE ST RM 6D-107, BALTIMORE, MD 21201-1524
(410) 605-7000
Mailing address
6916 VALLERY ST, RIVERDALE, MD 20737-3053
(301) 318-0223

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
01/25/2023
Last updated
01/25/2023
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