| Carrie Bradean, Llc | |
|
636 Church St Ste 415 Evanston IL 60201-4580 | |
| (847) 440-4285 | |
| (847) 787-1836 |
| Full Name | Carrie Bradean, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 636 Church St Ste 415, Evanston, Illinois |
| Authorized Official Name and Position | Carrie Bradean (THERAPIST) |
| Authorized Official Contact | 8474404285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie Bradean, Llc 636 Church St Ste 415 Evanston IL 60201-4580 Ph: (847) 440-4285 | Carrie Bradean, Llc 636 Church St Ste 415 Evanston IL 60201-4580 Ph: (847) 440-4285 |
| NPI Number | 1811448483 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 02/17/2022 |
| Certification Date | 02/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811448483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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