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Individual

TEMITAYO OMOLOLA OLASUPO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1425 UNIVERSITY BLVD E STE 245, HYATTSVILLE, MD 20783-4646
(240) 752-2767
Mailing address
1425 UNIVERSITY BLVD E STE 245, HYATTSVILLE, MD 20783-4646
(240) 752-2767

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30270
MD
1041C0700X
Clinical Social Worker
106852
TX

Other

Enumeration date
06/22/2026
Last updated
06/26/2026
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