MADELINE OLIVIA SANSOM

CHICAGO, IL
NPI1689413148
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence:   PRE-LIC)
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2024-05-23
Last Update Date2024-05-23
Business Address
MADELINE OLIVIA SANSOM
1147 W OHIO ST STE 103
CHICAGO, IL 60642-5874
Phone number: 312-772-9796
Mailing Address
MADELINE OLIVIA SANSOM
1147 W OHIO ST UNIT 103
CHICAGO, IL 60642
Phone number: 312-772-9796