Individual
LACRESHA OLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1902 W CERMAK RD, CHICAGO, IL 60608-4204
(773) 596-9045
Mailing address
1902 W CERMAK RD, CHICAGO, IL 60608-4204
(773) 596-9045
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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