Individual
OLADEPE ABIOLA AGHENU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
Mailing address
937 CARROLL AVE, SAINT PAUL, MN 55104-5413
(651) 334-1347
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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