Fitzgerald Ajoku
Social Worker, Clinical in Lake Bluff, IL. Individual provider (NPI-1).
NPI number1104583418
StatusActive
Last updated in NPPESFeb 3, 2025
Details
- NPI
- 1104583418
- Entity type
- Individual (NPI-1)
- Name
- Fitzgerald Ajoku
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 22, 2021
- Certification date
- Feb 3, 2025
- Last updated
- Feb 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 128146 | CA | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
30047 N Waukegan RdLake Bluff, IL 60044-1023
Phone 914-609-1183
Mailing address
30047 N Waukegan RdLake Bluff, IL 60044-1023
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