Individual
BRIAN MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1111 W LAKE COOK RD, BUFFALO GROVE, IL 60089-1926
(847) 353-1500
Mailing address
1111 W LAKE COOK RD, BUFFALO GROVE, IL 60089-1926
(847) 353-1500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149006431
IL
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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