Individual
MRS. OMOWUMI OLUMAYOWA OLAWALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCM
Contact information
Practice address
3507 N ROLLING RD, WINDSOR MILL, MD 21244-2203
(410) 718-6700
Mailing address
506 TYLNEY HALL CT, WESTMINSTER, MD 21158-3039
(410) 718-6700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
4208759
NJ
Other
Enumeration date
12/24/2017
Last updated
06/21/2022
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