Male or Other

St.Ennah B. Akudihor

Clinical Social Worker in Port Orchard, WA(View on Map)

Full Name

St.Ennah Bo'Kare Akudihor

NPI Number

1821670597

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/22/2021

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

LW61559348

Contact
Information

Purpose

Mailing
Location

Address

3133 RUSTLEWOOD LN SE
3133 RUSTLEWOOD LN SE

City

Port Orchard
Port Orchard

State

WA
WA

Postal Code

98366-1834
98366-1834

Country

US
US

Telephone Number

(504) 382-0080
(360) 226-2442

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

Data last updated by provider on 08/18/2024

Provider Address

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