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Contact Information

MAMBO AWASUM HENRY
654 NE 9TH PL
HOMESTEAD, FL33030-4934
 Phone: 305-248-3488
 Fax: 305-248-3499
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for MAMBO AWASUM HENRY · (Female)

NPI Number 1205252145
Status Active
Credentials
Entity Individual
Enumeration date 03/17/2014
Last updated 03/14/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • DC License # LG50083209
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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