Organization
OLUGUS FAMILY CARE
Active
Organization
OLUGUS FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEAUNA D. OLUGU D.O (CLINICAL)
(405) 474-3054
Entity
Organization
Contact information
Practice address
44077 W. PALMEN DR., MARICOPA, AZ 85138
(405) 474-3054
Mailing address
44077 W. PALMEN DR., MARICOPA, AZ 85138
(405) 474-3054
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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