Individual
BRIDGET BRODLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2027 N MAGNOLIA AVE, CHICAGO, IL 60614-4009
(708) 860-1996
Mailing address
2027 N MAGNOLIA AVE, CHICAGO, IL 60614-4009
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
78020173
IL
Other
Enumeration date
06/10/2022
Last updated
05/02/2024
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