Individual provider · NPI-1

Mambo Awasum-Henry

Social Worker · Homestead, FL

NPI number1205252145
StatusActive
Last updated in NPPESMar 14, 2025

Details

NPI
1205252145
Entity type
Individual (NPI-1)
Name
Mambo Awasum-Henry
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 17, 2014
Certification date
Mar 14, 2025
Last updated
Mar 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social WorkerLG50083209DCYes
101YM0800X Counselor, Mental Health––

Practice location

654 Ne 9th Pl
Homestead, FL 33030-4934

Phone 305-248-3488 · Fax 305-248-3499

Mailing address

654 Ne 9th Pl
Homestead, FL 33030-4934

Phone 305-248-3488 · Fax 305-248-3499

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