Individual
ADEKUNBI OLUWASUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-3443
(718) 334-1444
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-3443
(718) 334-1444
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
090112
NY
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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