Individual
INYANG UDO-EMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5112 S 6TH ST, PHOENIX, AZ 85040-2291
(480) 744-3288
Mailing address
5112 S 6TH ST, PHOENIX, AZ 85040-2291
(480) 744-3288
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LAC-13859
AZ
101YM0800X
Mental Health Counselor
Primary
LPC-16539
AZ
Other
Enumeration date
08/26/2014
Last updated
04/05/2025
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