Individual
ANDREA FOLSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4256 N RAVENSWOOD AVE, SUITE 212, CHICAGO, IL 60613-1114
(872) 210-4881
Mailing address
2959 W WILSON AVE, CHICAGO, IL 60625-3728
(319) 621-4837
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.013977
IL
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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