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Individual

DINA BRAVY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
1113 S MILWAUKEE AVE, STE 104, LIBERTYVILLE, IL 60048-3758
(847) 367-5991
(847) 367-5997
Mailing address
1113 S MILWAUKEE AVE, STE 104, LIBERTYVILLE, IL 60048-3758
(847) 367-5991
(847) 367-5997

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178008094
IL
101YP2500X
Professional Counselor
Primary
180009939
IL

Other

Enumeration date
08/09/2011
Last updated
11/10/2015
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