Organization
E M BRANCH & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA T. THOMPSON MSW (PRESIDENT)
(773) 238-1100
Entity
Organization
Contact information
Practice address
3139 W 111TH ST, CHICAGO, IL 60655-2205
(773) 238-1100
(773) 238-4095
Mailing address
3139 W 111TH ST, CHICAGO, IL 60655-2205
(773) 238-1100
(773) 238-4095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
149.002225
IL
Other
Enumeration date
06/19/2007
Last updated
07/11/2007
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