Individual
MR. BRADLEY PHILIP SJOSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
938 W NELSON ST, CHICAGO, IL 60657-6704
(773) 296-5159
(773) 296-3226
Mailing address
938 W NELSON ST, CHICAGO, IL 60657-6704
(773) 296-5159
(773) 296-3226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.008570
IL
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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