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Individual

AMANDA LEE BRUSCINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
9239 GROSS POINT RD, SUITE 300, SKOKIE, IL 60077-1389
(847) 676-4447
(847) 676-4450
Mailing address
9239 GROSS POINT RD, SUITE 300, SKOKIE, IL 60077-1389
(847) 676-4447
(847) 676-4450

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/18/2011
Last updated
08/18/2011
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