Individual
OMOLOLA KATE EBODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
645 ROLFE ST, HAMPTON, VA 23661-2438
(404) 232-5417
Mailing address
645 ROLFE ST, HAMPTON, VA 23661-2438
(404) 232-5417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP13638
MD
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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