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Individual

DR. ENOWOGHOMWENMA OSAGHAE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1615 POLK ST STE 3, SAN FRANCISCO, CA 94109-3698
(415) 237-3598
(628) 388-3011
Mailing address
5432 GEARY BLVD UNIT 694, SAN FRANCISCO, CA 94121-2307

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
103K00000X
Behavior Analyst
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
Primary
34976
CA
103TF0200X
Forensic Psychologist
103TM1800X
Intellectual & Developmental Disabilities Psychologist
103TP2701X
Group Psychotherapy Psychologist

Other

Enumeration date
07/10/2015
Last updated
10/03/2024
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