Organization
DIVINE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA NWANYIEZE IDOWU LMSW (SOCIAL WORKER)
(214) 270-5784
Entity
Organization
Contact information
Practice address
7844 SUNHAVEN WAY, SEVERN, MD 21144-1613
(214) 270-5784
Mailing address
7844 SUNHAVEN WAY, SEVERN, MD 21144-1613
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780202887
1780202887
MD
Enumeration date
08/01/2020
Last updated
08/01/2020
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