Individual
BRANDON ELIAS JOHN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
450 E 22ND ST STE 158, LOMBARD, IL 60148-6175
(630) 474-3900
Mailing address
530 MILTON DR, NAPERVILLE, IL 60563-3311
(815) 355-0109
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.112263
IL
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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