Individual
BRENNA CONLEY-FONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
618 LIBRARY PL, EVANSTON, IL 60201-2908
(847) 733-4300
Mailing address
618 LIBRARY PL, EVANSTON, IL 60201-2908
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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