Provider Information for 1639826050
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UWEM OBOT MS. MA. NCC. LPC
Sex: Female
NPI: 1639826050
Last Updated: 2023-08-01
Certification Date: 2023-08-01
Certification Date: 2023-08-01
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1639826050 | ||||||||||||||||
| Enumeration Date | 2022-03-05 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 152 FLAMINGO ISLAND DR MISSOURI CITY, TX 77459-4607 United States Phone: 832-451-0103 | Fax: | ||||||||||||||||
| Primary Practice Address | 152 FLAMINGO ISLAND DR MISSOURI CITY, TX 77459-4607 United States Phone: 832-451-0103 | Fax: | ||||||||||||||||
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