Individual
BRANDON J O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(805) 423-7764
Mailing address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(805) 423-7764
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.021285
IL
1041C0700X
Clinical Social Worker
150.102995
IL
Other
Enumeration date
04/11/2018
Last updated
10/13/2023
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