Individual
TIMIADI EDOGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10325 W SAN JUAN AVE, GLENDALE, AZ 85307-4310
(632) 748-8952
Mailing address
10325 W SAN JUAN AVE, GLENDALE, AZ 85307-4310
(623) 748-8952
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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