Organization
CHARLOTTE MIDDLEBROOK LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LOUISE MIDDLEBROOK CCM, MSW, LCSW (LCSW)
(513) 312-9761
Entity
Organization
Contact information
Practice address
719 HOME AVE, OAK PARK, IL 60304-1013
(513) 312-9761
Mailing address
719 HOME AVE, OAK PARK, IL 60304-1013
(513) 312-9761
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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