Individual
MR. DOUGLAS CARL BREUNLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
618 LIBRARY PL, EVANSTON, IL 60201-2908
(847) 733-4300
(847) 733-0590
Mailing address
1806 COLFAX ST, EVANSTON, IL 60201-2528
(708) 280-8370
(847) 733-0390
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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