Organization
BLOOMING ORCHIDS CLINICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUFOLAKE OGUNYEMI LICSW (OWNER)
(202) 681-4078
Entity
Organization
Contact information
Practice address
2327 BROOKE GROVE RD, MITCHELLVILLE, MD 20721-1860
(202) 681-4078
Mailing address
12138 CENTRAL AVE STE 674, MITCHELLVILLE, MD 20721-1910
(202) 681-4078
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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