Individual
MR. MICHAEL UGOCHUKWU UDEAGWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5013 CANVASBACK CT, FREDERICK, MD 21703-9510
(443) 657-3415
Mailing address
5013 CANVASBACK CT, FREDERICK, MD 21703-9510
(443) 657-3415
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
MD
251S00000X
Community/Behavioral Health Agency
Primary
—
MD
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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