BLAISE MONGANGU

WHEATON, IL
NPI1912459405
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-10-31
Last Update Date2016-10-31
Business Address
-- BLAISE MONGANGU
111 N COUNTY FARM RD
WHEATON, IL 60187-3977
Phone number: 630-682-7400
Mailing Address
-- BLAISE MONGANGU
111 N COUNTY FARM RD
WHEATON, IL 60187-3977
Phone number: 630-682-7400