Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1114312170 |
---|---|
Provider Name | Anthonia A. Adegbesan Sowho |
First Address | Severn, MD 21144-1735 |
Second Address | Washington, DC 20010-2921 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2015 |
Last Update Date | 06/04/2015 |