Individual
DR. DAPHNE LUCIENNE SAJOUS-BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
524 N WOLCOTT AVE, CHICAGO, IL 60622-6256
(312) 610-4931
Mailing address
4194 N CLARENDON AVE APT 3, CHICAGO, IL 60613-6290
(773) 704-6274
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071010652
IL
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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