Individual
ALISHA AGBONGHAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1074 W TAYLOR ST STE 383, CHICAGO, IL 60607-4336
(312) 590-7381
Mailing address
1074 W TAYLOR ST STE 383, CHICAGO, IL 60607-4336
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.027711
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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