Provider Demographics
NPI:1750679619
Name:MAGADJI, YETUNDE OLUKEMI
Entity Type:Individual
Prefix:
First Name:YETUNDE
Middle Name:OLUKEMI
Last Name:MAGADJI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YETUNDE
Other - Middle Name:OLUKEMI
Other - Last Name:TOWLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1400 SPRING RD NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-1210
Mailing Address - Country:US
Mailing Address - Phone:202-506-3575
Mailing Address - Fax:
Practice Address - Street 1:1400 SPRING RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-1210
Practice Address - Country:US
Practice Address - Phone:202-506-3575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-13
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500781491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical