Individual
BRENDA J NEMETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14 BRINK ST, CRYSTAL LAKE, IL 60014-4302
(815) 455-6736
(815) 455-9744
Mailing address
14 BRINK ST, CRYSTAL LAKE, IL 60014-4302
(815) 455-6736
(815) 455-9744
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005615149
BCBS
IL
Enumeration date
10/19/2006
Last updated
07/08/2007
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