Provider Demographics
NPI:1093079741
Name:OKUNBOR, OBIAGERI LINDA
Entity Type:Individual
Prefix:MRS
First Name:OBIAGERI
Middle Name:LINDA
Last Name:OKUNBOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 LORING AVE
Mailing Address - Street 2:APT C 60
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-4253
Mailing Address - Country:US
Mailing Address - Phone:781-350-8533
Mailing Address - Fax:
Practice Address - Street 1:1000 LORING AVE
Practice Address - Street 2:APT C 60
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-4253
Practice Address - Country:US
Practice Address - Phone:781-350-8533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-27
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker