Male or Other

Mr. Matanmi O. Kuforiji LCSW-C

Clinical Social Worker in Baltimore, MD(View on Map)

Full Name

Mr. Matanmi Olusesan Kuforiji LCSW-C

NPI Number

1083279343

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/02/2019

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

13562

Contact
Information

Purpose

Mailing
Location

Address

3514 CORN STREAM ROAD
2300 GARRISON BOULEVARD SUITE 101

City

Randallstown
Baltimore

State

MD
MD

Postal Code

21133
21216

Country

US
US

Telephone Number

(410) 493-2975
(410) 233-1990

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/02/2019

Provider Address

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