Individual
BRESHONTI GALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17230 KENWOOD AVE, SOUTH HOLLAND, IL 60473-3677
(708) 990-5575
Mailing address
17230 KENWOOD AVE, SOUTH HOLLAND, IL 60473-3677
(708) 990-5575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.028354
IL
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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