Provider Demographics
NPI:1801136965
Name:OKODUWA, CHRISTINA GERALDINE (LCSW)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:GERALDINE
Last Name:OKODUWA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9375 FONTAINEBLEAU BLVD APT L121
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-4621
Mailing Address - Country:US
Mailing Address - Phone:954-600-5618
Mailing Address - Fax:
Practice Address - Street 1:9375 FONTAINEBLEAU BLVD APT L121
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-4621
Practice Address - Country:US
Practice Address - Phone:954-600-5618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-26
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker