Individual
CARL LEE BRAKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
800 MAIN ST STE 210, ANTIOCH, IL 60002-1578
(847) 903-5604
Mailing address
800 MAIN ST STE 210, ANTIOCH, IL 60002-1578
(847) 903-5604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149002890
IL
Other
Enumeration date
11/28/2017
Last updated
09/02/2022
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