Individual
ADEJARE ABISOGUN MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2818 MAYO ST, HOLLYWOOD, FL 33020-5646
(954) 993-6055
Mailing address
2818 MAYO ST, HOLLYWOOD, FL 33020-5646
(954) 993-6055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH16474
FL
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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