Individual
YOLANDA EZEUGWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2240 WINROW AVE, USA MEDDAC, RWBAHC, FORT HUACHUCA, AZ 85613
(520) 533-2460
Mailing address
1407 17TH ST, ROCK ISLAND, IL 61201-3608
(309) 269-0306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149012398
IL
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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