Organization
BRANDY ELMORE LCSW COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY ELIZABETH ELMORE MA, LCSW (THERAPIST)
(309) 201-5201
Entity
Organization
Contact information
Practice address
2103 E WASHINGTON ST STE 2F, BLOOMINGTON, IL 61701-4365
(309) 201-5201
Mailing address
2810 MORNINGSIDE DR, BLOOMINGTON, IL 61704-6234
(217) 377-0546
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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