Individual
ADEWALE ADEGBENLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW., MSW
Contact information
Practice address
2620 CENTRAL AVE, BALDWIN, NY 11510-3648
(917) 209-6613
(516) 377-0057
Mailing address
2620 CENTRAL AVE, BALDWIN, NY 11510-3648
(917) 209-6613
(516) 377-0057
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
073461
NY
1041C0700X
Clinical Social Worker
082417
NY
Other
Enumeration date
01/21/2014
Last updated
01/16/2015
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