Individual
MRS. FUNMILOLA N TAIWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LISW-S
Contact information
Practice address
401 CENTURY PKWY UNIT 522, ALLEN, TX 75013-8043
(440) 941-5783
Mailing address
401 CENTURY PKWY UNIT 522, ALLEN, TX 75013-8043
(440) 941-5783
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
103423
TX
1041C0700X
Clinical Social Worker
C012140
NC
1041C0700X
Clinical Social Worker
I.1302508-SUPV
OH
Other
Enumeration date
07/18/2012
Last updated
11/20/2020
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