Individual
IKECHUKWU GREGORY IBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 GLOVER AVE APT 414, NORWALK, CT 06850-1244
(484) 744-6689
Mailing address
1 GLOVER AVE APT 414, NORWALK, CT 06850-1244
(484) 744-6689
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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