Individual
BETTINE BRUSCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
27W350 HIGH LAKE RD, WINFIELD, IL 60190-1262
(630) 933-4672
Mailing address
20 LAKEWOOD CIR, ST CHARLES, IL 60174-5576
(630) 377-7292
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2207757
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/29/2006
Last updated
07/09/2007
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