Provider Demographics
NPI:1114312170
Name:SOWHO, ANTHONIA A ADEGBESAN (MS, CRC)
Entity Type:Individual
Prefix:
First Name:ANTHONIA
Middle Name:A ADEGBESAN
Last Name:SOWHO
Suffix:
Gender:F
Credentials:MS, CRC
Other - Prefix:
Other - First Name:ANTHONIA
Other - Middle Name:ADEDOLAPO
Other - Last Name:ADEGBESAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CRC
Mailing Address - Street 1:7974 PADDOCK CT
Mailing Address - Street 2:
Mailing Address - City:SEVERN
Mailing Address - State:MD
Mailing Address - Zip Code:21144-1735
Mailing Address - Country:US
Mailing Address - Phone:202-877-1198
Mailing Address - Fax:
Practice Address - Street 1:102 IRVING ST NW
Practice Address - Street 2:ROOM 2140
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2921
Practice Address - Country:US
Practice Address - Phone:202-877-1198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-06
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor