Individual
BRANDI MARIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
25 E WASHINGTON ST STE 1835, CHICAGO, IL 60602-1836
(312) 940-3655
Mailing address
5256 S DREXEL AVE APT 1D, CHICAGO, IL 60615-3751
(773) 885-2281
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.024347
IL
Other
Enumeration date
01/23/2023
Last updated
11/14/2024
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