Obrain U Agwanihu
Social Worker, Clinical in Evanston, IL. Individual provider (NPI-1).
NPI number1841997889
StatusActive
Last updated in NPPESSep 8, 2024
Details
- NPI
- 1841997889
- Entity type
- Individual (NPI-1)
- Name
- Mr. Obrain U Agwanihu
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 9, 2023
- Certification date
- Sep 8, 2024
- Last updated
- Sep 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149.027628 | IL | Yes |
| 104100000X | Social Worker | 150.110303 | IL |
Practice location
622 Davis St Ste 200Evanston, IL 60201-4491
Phone 773-294-0176
Mailing address
128 Bixley HeathLynbrook, NY 11563-3140
Phone 516-574-1018
Other practice locations
105 Pearsall Ave
Freeport, NY 11520-2618
Freeport, NY 11520-2618
Phone 516-574-1018
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