Individual
BABAYEMI K AIYEGBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8 KIRBY LN, FRANKLIN PARK, NJ 08823-1334
(973) 202-7915
Mailing address
8 KIRBY LN, FRANKLIN PARK, NJ 08823-1334
(973) 202-7915
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW019549
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CW019549
STATE LICENSE
PA
Enumeration date
02/08/2021
Last updated
02/08/2021
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