Individual
MISS EMMANUELLA EWUSIWAA ODOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1856 LAFAYETTE AVE APT 4E, BRONX, NY 10473-2842
(347) 833-6458
Mailing address
1856 LAFAYETTE AVE APT 4E, BRONX, NY 10473-2842
(347) 833-6458
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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