Individual
CARRIE GRACE BRADEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
636 CHURCH ST STE 415, EVANSTON, IL 60201-4580
(847) 440-4285
(847) 787-1836
Mailing address
636 CHURCH ST STE 415, EVANSTON, IL 60201-4580
(847) 440-4285
(847) 787-1836
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149018121
IL
Other
Enumeration date
09/22/2016
Last updated
02/17/2022
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