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Individual

BRIAN VANDINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
303 E WACKER DR STE 2102, CHICAGO, IL 60601-5314
(312) 736-1776
Mailing address
1893 COVE LN, GLENDALE HTS, IL 60139-1920
(630) 665-8719
(630) 665-8719

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149008702
IL

Other

Enumeration date
08/05/2022
Last updated
08/05/2022
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