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Abisola Osifade

Counselor, Mental Health in Millersville, MD. Individual provider (NPI-1).

NPI number1699028787
StatusActive
Last updated in NPPESJun 2, 2021

Details

NPI
1699028787
Entity type
Individual (NPI-1)
Name
Abisola Osifade
Sex
Female
Sole proprietor
No
Enumeration date
Oct 26, 2012
Certification date
Jun 2, 2021
Last updated
Jun 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

1110 Benfield Blvd Ste B
Millersville, MD 21108-2644

Phone 410-863-7213 · Fax 410-863-7205

Mailing address

804 Landmark Dr Ste 118
Glen Burnie, MD 21061-4486

Phone 410-863-7213 · Fax 410-863-7205

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