Individual
OLUSOJI SAMUEL IBUKUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1960 EVERGREEN TERRACE DR W APT 1, CARBONDALE, IL 62901-3933
(618) 527-7057
Mailing address
1960 EVERGREEN TERRACE DR W APT 1, CARBONDALE, IL 62901-3933
(618) 527-7057
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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