Individual
CALLIE BRUNSWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1600 30TH AVE, MOLINE, IL 61265-6046
(309) 764-4733
Mailing address
240 E MAIN ST, GOOD HOPE, IL 61438-9161
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178018231
IL
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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