Individual
MS. CRISTEN ALICE BROSSOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCSW
Contact information
Practice address
1402 N GREENVIEW AVE APT GF, CHICAGO, IL 60642-7017
(312) 775-2440
Mailing address
1402 N GREENVIEW AVE APT GF, CHICAGO, IL 60642-7017
(312) 775-2440
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150.103100
IL
1041C0700X
Clinical Social Worker
Primary
149.021895
IL
Other
Enumeration date
10/22/2019
Last updated
01/08/2024
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