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1245554724
BRENDA N BLACK
CHICAGO, IL
NPI
1245554724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149013929)
Enumeration Date
2010-03-26
Last Update Date
2022-10-30
Business Address
BRENDA N BLACK LCSW
1316 W ERIE ST
CHICAGO, IL 60642-5718
Phone number: 312-718-6996
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Mailing Address
BRENDA N BLACK LCSW
4256 N RAVENSWOOD AVE SUITE 315
CHICAGO, IL 60613-1110
Phone number: 312-718-6996
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