Individual
LACRETIA BRAZZLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14447 S BENSLEY AVE, BURNHAM, IL 60633-2224
(708) 862-0212
Mailing address
17746 OAK PARK AVE, TINLEY PARK, IL 60477-3936
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150107068
IL
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/17/2017
Last updated
05/09/2025
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