Omolara Kasumu
Social Worker, Clinical in Laurel, MD. Individual provider (NPI-1).
NPI number1699298489
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1699298489
- Entity type
- Individual (NPI-1)
- Name
- Omolara Kasumu
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 24, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 16878 | MD | Yes |
Practice location
14400 Mayfair DrLaurel, MD 20707-5206
Phone 240-838-2454
Mailing address
14400 Mayfair DrLaurel, MD 20707-5206
Phone 240-838-2454
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