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Individual

MRS. SIJUWADE ABIOLA ADEGOJU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2012 E HIGHWAY 90A, RICHMOND, TX 77406-2526
(832) 863-8200
Mailing address
PO BOX 166, ALIEF, TX 77411-0166
(832) 863-8200

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TB0200X
Cognitive & Behavioral Psychologist
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1061710
TX

Other

Enumeration date
02/17/2021
Last updated
06/21/2022
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