Individual
AHMED I OBAKHUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4013 BROCKTON AVE, RIVERSIDE, CA 92501-3440
(909) 289-4075
Mailing address
PO BOX 452573, LOS ANGELES, CA 90045-8535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
82959
CA
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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