Individual
MR. ADESINA P OGUNLANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSWR
Contact information
Practice address
2581 ATLANTIC AVE, INSTITUTE FOR COMMUNITY LIVING, BROOKLYN, NY 11207-2412
(718) 495-6700
Mailing address
27 LAGUNA LN, STATEN ISLAND, NY 10303-2482
(718) 818-9824
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
054785
NY
Other
Enumeration date
02/24/2007
Last updated
07/08/2007
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