Individual
MS. AYESHA OLLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
407 E 50TH PL, 73, CHICAGO, IL 60615-2328
(773) 629-5048
Mailing address
407 E 50TH PL, 73, CHICAGO, IL 60615-2328
(773) 629-5048
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.012014
IL
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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