Individual
SHEKU BANGURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
521 OAKDALE RD APT J, NEWARK, DE 19713-3635
(302) 367-0815
Mailing address
521 OAKDALE RD APT J, NEWARK, DE 19713-3635
(302) 367-0815
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250572516
—
DE
Enumeration date
10/08/2020
Last updated
10/08/2020
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