Individual
ELIZABETH LASSANDRELLO BREMNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 W. WASHINGTON ST, OSWEGO, IL 60543
(630) 383-2077
Mailing address
123 W WASHINGTON ST STE 321, OSWEGO, IL 60543-8297
(630) 383-2077
(630) 383-2076
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178011187
IL
101YS0200X
School Counselor
1001524
IL
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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