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Individual

OWEN ENOCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
120 E OGDEN AVE STE 220, HINSDALE, IL 60521-3546
(630) 653-9700
Mailing address
250 E PLYMOUTH ST, VILLA PARK, IL 60181-1744

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary

Other

Enumeration date
05/17/2022
Last updated
05/17/2022
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