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1265059703
ADEMOLA CLEMENT OMISAKIN
LANHAM, MD
NPI
1265059703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD LGP10524)
Enumeration Date
2020-07-01
Last Update Date
2020-07-01
Business Address
ADEMOLA CLEMENT OMISAKIN LGPC
5900 PRINCESS GARDEN PKWY
LANHAM, MD 20706-2925
Phone number: 301-851-5954
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Mailing Address
ADEMOLA CLEMENT OMISAKIN LGPC
10900 WHARTON DR
UPPER MARLBORO, MD 20774-1469
Phone number: 240-544-8610
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