Individual
DOLORES IMROTH BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
24 WIMBLEDON CT, LINCOLNSHIRE, IL 60069
(847) 478-6108
(847) 478-6108
Mailing address
24 WIMBLEDON CT, LINCOLNSHIRE, IL 60069
(847) 478-6108
(847) 478-6108
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01607939
BCBS
IL
Enumeration date
01/12/2007
Last updated
07/08/2007
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