MEDICARE: MRS. ONEDIA W ASIEDU MS

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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1790143949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ONEDIA W ASIEDU MS

Provider Business Mailing Address
First Line	:	10 CHRISTY DRIVE
Second Line	:	BAMSI
City	:	BROCKTON
State	:	MA
Zip	:	02301-0000
Country	:	US
Telephone Number	:	508-580-8700
Fax Number	:

Provider Business Practice Location Address
First Line	:	288 BEDFORD STREET
Second Line	:	WHITMAN COUNSELING
City	:	WHITMAN
State	:	MA
Zip	:	02382-0000
Country	:	US
Telephone Number	:	781-447-6425
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2016
Last Update Date	:	10/03/2016

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