Individual
GODELIVE PINDILA BAHOMBWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1413 DOBSON ST APT 1, EVANSTON, IL 60202-4810
(773) 710-7650
Mailing address
1413 DOBSON ST APT 1, EVANSTON, IL 60202-4810
(773) 710-7650
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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