Provider Demographics
NPI:1154196228
Name:AJOMALE, UZEZI SOPHIA
Entity type:Individual
Prefix:MS
First Name:UZEZI
Middle Name:SOPHIA
Last Name:AJOMALE
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 1:312T SCHILLINGER RD S # 231
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-5000
Mailing Address - Country:US
Mailing Address - Phone:251-227-8822
Mailing Address - Fax:
Practice Address - Street 1:3920 AIRPORT BOULEVARD
Practice Address - Street 2:BUILDING # 2, SUITE 300
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-2207
Practice Address - Country:US
Practice Address - Phone:251-227-8823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-20
Last Update Date:2023-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4327C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical