Individual
BRENDA GOMEZ HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1340 S DAMEN AVE, CHICAGO, IL 60608-1169
(312) 762-2719
Mailing address
1340 S DAMEN AVE, CHICAGO, IL 60608-1169
(312) 762-2719
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150.110079
IL
1041C0700X
Clinical Social Worker
Primary
149.029330
IL
Other
Enumeration date
03/06/2023
Last updated
05/20/2025
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