Individual
MS. VLADA BRUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, BCBA
Contact information
Practice address
3504 COMMERCIAL AVE, NORTHBROOK, IL 60062-1821
(847) 272-5111
Mailing address
1314 WITNEY LN, BUFFALO GROVE, IL 60089-6860
(312) 804-1825
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/18/2009
Last updated
04/24/2024
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