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NPI Code Detail

MEDICARE: OLUBUNMI AYODELE

MEDICARE: OLUBUNMI AYODELE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker28818MD

General Provider Information

NPI Number : 1003792300
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLUBUNMI AYODELE
Provider Business Mailing Address
First Line : 3465 FORT MEADE RD # 109
Second Line :
City : LAUREL
State : MD
Zip : 20724-2044
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3465 FORT MEADE RD # 109
Second Line :
City : LAUREL
State : MD
Zip : 20724-2044
Country : US
Telephone Number : 410-989-3467
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2025
Last Update Date : 08/12/2025

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Directions to “ OLUBUNMI AYODELE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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