Individual
FOLASHADE OBASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4031 W DAYTON ST, MCHENRY, IL 60050-8377
(815) 759-7126
Mailing address
4031 W DAYTON ST, MCHENRY, IL 60050-8377
(815) 344-1230
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
—
IL
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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