Individual
MRS. IDALIA KAROLINA WALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
4905 OLD ORCHARD CTR, SUITE428, SKOKIE, IL 60077-1458
(847) 324-4301
Mailing address
2737 HIGHLAND AVE, EVANSTON, IL 60201-4957
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.012635
IL
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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