Individual
ROLAND REGINALD FOUCHE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
364 W MILLERS RD, DES PLAINES, IL 60016-2759
(773) 297-6099
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 249-0600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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