Individual
MS. BOLANLE AYINDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-C
Contact information
Practice address
4918 TAYLOR ST, BLADENSBURG, MD 20710-1233
(301) 779-0988
Mailing address
4918 TAYLOR ST, BLADENSBURG, MD 20710-1233
(301) 779-0988
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC50077739
DC
1041C0700X
Clinical Social Worker
Primary
12470
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4068220 00.
—
MD
Enumeration date
05/13/2007
Last updated
10/18/2023
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