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Individual

BRENDA GAYLE LADSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
449 S DEARBORN AVE, BRADLEY, IL 60915-2331
(815) 936-1844
(815) 937-3538
Mailing address
449 S DEARBORN AVE, BRADLEY, IL 60915-2331
(815) 936-1844
(815) 937-3538

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IL

Other

Enumeration date
11/14/2007
Last updated
11/14/2007
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