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Organization

E.M. BRANCH AND ASSOCIATES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BRENDA T. THOMPSON (PRESIDENT/CEO)
(773) 238-1100
Entity
Organization

Contact information

Practice address
3139 W. 111TH STREET, CHICAGO, IL 60655
(773) 238-1100
(773) 238-1100
Mailing address
3139 W. 111TH STREET, CHICAGO, IL 60655
(773) 238-1100
(773) 238-4095

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149.002225
IL

Other

Enumeration date
01/09/2012
Last updated
01/09/2012
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