Individual
DANIEL IKEAGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
421 12TH ST, COLUMBUS, GA 31901-2522
(706) 494-7776
(706) 494-7076
Mailing address
1310 51ST ST, #5, COLUMBUS, GA 31904-5716
(706) 221-4459
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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