Individual
OMOIKE ERIC AIZENOFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.DIV. BCC
Contact information
Practice address
145 W PIONEER PKWY APT 2022, GRAND PRAIRIE, TX 75051-4977
(325) 232-4205
Mailing address
PO BOX 530513, GRAND PRAIRIE, TX 75053-0513
(325) 232-4205
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
07/27/2024
Last updated
07/27/2024
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