Individual
EKENEMCHUKWU DENNIS ASIODU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
151 VICTORIA LN, SUGARLOAF, CA 92386-9739
(909) 967-5463
Mailing address
PO BOX 5655, SUGARLOAF, CA 92386-5655
(909) 967-5463
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
106782
CA
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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