Individual
KOLAWOLE ABIODUN ADEOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 EVESBORO MEDFORD RD STE F, MARLTON, NJ 08053-3865
(856) 446-2146
Mailing address
105 EVESBORO MEDFORD RD STE F, MARLTON, NJ 08053-3865
(443) 677-5135
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
11/25/2020
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