Individual
BRANDON LAVELL BARKSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 S KILPATRICK AVE, CHICAGO, IL 60644-4923
(773) 854-1511
Mailing address
1645 W JARVIS AVE APT 1E, CHICAGO, IL 60626-7061
(224) 247-1746
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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