Individual
DEMETRICE OGUNDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 E 12TH AVE, WINFIELD, KS 67156-4114
(620) 221-6252
(620) 221-6253
Mailing address
118 N 2ND ST, SAINT CHARLES, MO 63301-2832
(636) 224-1210
(636) 946-0991
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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