Provider Demographics
NPI:1760226120
Name:ABJUGA, SOPHIA (LSW)
Entity type:Individual
Prefix:
First Name:SOPHIA
Middle Name:
Last Name:ABJUGA
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 LINCOLN AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-2616
Mailing Address - Country:US
Mailing Address - Phone:973-902-8713
Mailing Address - Fax:
Practice Address - Street 1:37 LINCOLN AVE FL 1
Practice Address - Street 2:
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-2616
Practice Address - Country:US
Practice Address - Phone:973-902-8713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health