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Contact Information

YOLANDA EZEUGWU, LCSW
2240 WINROW AVE
USA MEDDAC, RWBAHC
FORT HUACHUCA, AZ85613
 Phone: 520-533-2460
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for YOLANDA EZEUGWU · (Female)

NPI Number 1407376817
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 06/27/2017
Last updated 06/27/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 149012398
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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