Individual
ANGELA BRANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
380 E NORTHWEST HWY, DES PLAINES, IL 60016-2290
(847) 867-7924
Mailing address
613 MEMORIAL BLVD, ROCKFORD, IL 61101-4932
(779) 772-0640
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149014941
IL
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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