Provider Demographics
NPI:1821351032
Name:OLLEY, TORITSEJU (MSW)
Entity Type:Individual
Prefix:
First Name:TORITSEJU
Middle Name:
Last Name:OLLEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8111 SALT LAKE DR
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-3702
Mailing Address - Country:US
Mailing Address - Phone:443-850-0038
Mailing Address - Fax:
Practice Address - Street 1:8111 SALT LAKE DR
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-3702
Practice Address - Country:US
Practice Address - Phone:443-850-0038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker