Jasmine Ouedraogo's National Provider Identifier (NPI) Details
Jasmine Ouedraogo, LCSW
NPI: 1902521701
Enumeration Date: 2022-10-05
Last updated: 2024-12-13
Sole Proprietor: NO
Status: active
Postal Address: 5000 S 5TH AVE, BLDG 228; 4 NORTH; MAIL CODE 122, HINES, IL
Phone: 708-202-4615
Primary Practice Address: 2109 W BERWYN AVE APT 1S, CHICAGO, IL
Practice's phone: 708-202-4615