Individual
DR. DAVID OLU-KAYODE ADEGBOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LCSW
Contact information
Practice address
1 LIGHTHOUSE CT, EASTAMPTON, NJ 08060-4431
(609) 576-2221
Mailing address
1 LIGHTHOUSE CT, EASTAMPTON, NJ 08060-4431
(609) 576-2221
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05868600
NJ
Other
Enumeration date
09/30/2019
Last updated
09/27/2020
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