Mr. OBRAIN U AGWANIHU
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1841997889- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 622 DAVIS ST STE 200, EVANSTON, IL, 602014491
- Phone
- (773) 294-0176
Specialties & Taxonomies
Social Worker
License: IL #150.110303
Social Worker, Clinical
Primary License: IL #149.027628