Individual
BLONDELLA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11560 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-4517
(773) 718-3515
Mailing address
11560 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-4517
(177) 371-8351
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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