Individual
MRS. TITILOPE ABIMBOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
438 S 17TH ST, NEWARK, NJ 07103-1236
(862) 872-0828
Mailing address
438 S 17TH ST, NEWARK, NJ 07103-1236
(862) 872-0828
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
104100000X
NJ
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
NJ
Other
Enumeration date
05/18/2024
Last updated
05/18/2024
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