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Olufemi Augustine Joseph

Case Manager/Care Coordinator in Bladensburg, MD. Individual provider (NPI-1).

NPI number1053258707
StatusActive
Last updated in NPPESSep 30, 2026

Details

NPI
1053258707
Entity type
Individual (NPI-1)
Name
Olufemi Augustine Joseph
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 30, 2026
Certification date
Sep 30, 2026
Last updated
Sep 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
106S00000X Behavior Technician––

Practice location

3801 Kenilworth Ave Apt 201w
Bladensburg, MD 20710-2125

Phone 240-714-9187

Mailing address

3801 Kenilworth Ave Apt 201w
Bladensburg, MD 20710-2125

Phone 240-714-9187

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