| Bracken Therapies Pllc | |
|
480 Susan Ln Deerfield IL 60015-3949 | |
| (847) 769-6926 | |
| Not Available |
| Full Name | Bracken Therapies Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 480 Susan Ln, Deerfield, Illinois |
| Authorized Official Name and Position | Moriah Bracken (OWNER) |
| Authorized Official Contact | 8477696926 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bracken Therapies Pllc 480 Susan Ln Deerfield IL 60015-3949 Ph: (847) 769-6926 | Bracken Therapies Pllc 480 Susan Ln Deerfield IL 60015-3949 Ph: (847) 769-6926 |
| NPI Number | 1982380077 |
|---|---|
| Provider Enumeration Date | 06/23/2023 |
| Last Update Date | 06/23/2023 |
| Certification Date | 06/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982380077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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