Individual
BRANDY ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCSW
Contact information
Practice address
2103 E WASHINGTON ST, STE 2F, BLOOMINGTON, IL 61701-4365
(217) 377-0546
Mailing address
2103 E WASHINGTON ST, STE 2F, BLOOMINGTON, IL 61701-4365
(217) 377-0546
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.026242
IL
1041S0200X
School Social Worker
2429459
IL
Other
Enumeration date
04/28/2016
Last updated
12/11/2023
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