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Individual

EMILY BREDLAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
12 HEALTH SERVICES DR, DEKALB, IL 60115-9637
(815) 766-3194
Mailing address
1125 DALBIGNE ST, BELVIDERE, IL 61008-2520

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1041C0700X
Clinical Social Worker
149.023161
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
149.023161
IDFPR
IL
Enumeration date
04/08/2016
Last updated
04/29/2021
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