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Individual

MR. DAVID BRAUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1502 SOUTH BLVD, EVANSTON, IL 60202-2730
(847) 530-8925
Mailing address
1502 SOUTH BLVD, EVANSTON, IL 60202
(847) 530-8925

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
149004116
IL
1041C0700X
Clinical Social Worker
Primary
149004116
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
149004116
LCSW
IL
Enumeration date
06/01/2015
Last updated
05/27/2022
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