Individual
BRENNA BOURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1718 SHERMAN AVE STE 210, EVANSTON, IL 60201-5610
(847) 577-1501
(847) 577-3858
Mailing address
1112 N HOYNE AVE, CHICAGO, IL 60622-3620
(708) 721-1288
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.017804
IL
Other
Enumeration date
12/06/2018
Last updated
04/10/2019
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