Individual
ALEX OSIFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2151 SKIBO RD, FAYETTEVILLE, NC 28314-0252
(910) 689-5333
Mailing address
2151 SKIBO RD, FAYETTEVILLE, NC 28314-0252
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
P021246
NC
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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