Individual
CHARLENE BRUHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2715 W 63RD ST, CHICAGO, IL 60629-2305
(773) 918-6171
(773) 434-6756
Mailing address
2715 W 63RD ST, CHICAGO, IL 60629-2305
(773) 918-6171
(773) 434-6756
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.005618
IL
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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