Most Relevant Information
Provider Data
  | NPI Number: | 1003353798 | 
| Provider Name: | MWUESE IGYOR LGSW | 
| Entity Type: | Individual | 
| Taxonomy Code: | 104100000X | 
| Specialty: | Social Worker | 
| License Number: | 22485 | 
Most Important Dates
  | Enumeration Date: | 01/19/2017 | 
| Last Updated: | 01/19/2017 | 
Provider Practice Location
  2908 FLEETWOOD AVE
      
      BALTIMORE
      MD
      212141207
  Practice Location Phone/Fax
      | Phone: | 7173304202 | 
| Fax: | 
Provider Mailing Location
  2908 FLEETWOOD AVE
      
      BALTIMORE
      MD
      212141207
  Provider Mailing Phone/Fax
      | Phone: | 7173304202 | 
| Fax: |