Individual provider · NPI-1
Dr. Stanley O Agwanihu, DHA
Social Worker, Clinical · Greensboro, NC
NPI number1407657125
StatusActive
Last updated in NPPESMar 19, 2025
Details
- NPI
- 1407657125
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stanley O Agwanihu
- Credential
- DHA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 19, 2025
- Certification date
- Mar 19, 2025
- Last updated
- Mar 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | P021046 | NC | Yes |
Practice location
1515 W Cornwallis Dr Ste 207Greensboro, NC 27408-6334
Phone 551-226-3603
Mailing address
510 Hamilton St Apt 315Somerset, NJ 08873-2893
Phone 551-226-3603
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