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Organization
RADZOM COUNSELING LLC
Active
Organization
RADZOM COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN C RADZOM LCSW (OWNER)
(618) 248-2040
Entity
Organization
Contact information
Practice address
40B EDWARDSVILLE PROF PARK, EDWARDSVILLE, IL 62025-3602
(618) 248-2040
(618) 248-2040
Mailing address
PO BOX 101, EDWARDSVILLE, IL 62025-0101
(618) 248-2040
(618) 248-2040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149012706
IL
Other
Enumeration date
05/18/2011
Last updated
10/24/2016
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