Individual
BRIAN D. GAZDZIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
100 STAHLHUT DR, LINCOLN, IL 62656-5059
(217) 735-9555
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
(217) 528-8962
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149016018
IL
Other
Enumeration date
09/18/2013
Last updated
05/22/2020
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