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Individual

MR. BRIAN SCHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
106 CENTER ST, GRAYSLAKE, IL 60030-1533
(847) 549-2235
Mailing address
106 CENTER ST, GRAYSLAKE, IL 60030-1533
(847) 668-8813

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.021800
IL

Other

Enumeration date
12/04/2019
Last updated
12/04/2019
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