BRIAN JOSEPH FASK

CHICAGO, IL
NPI1255091492
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.012306)
Enumeration Date2021-12-29
Last Update Date2021-12-29
Business Address
BRIAN JOSEPH FASK LCSW
820 S DAMEN AVE # 6331
CHICAGO, IL 60612-3728
Phone number: 312-569-8387
Mailing Address
BRIAN JOSEPH FASK LCSW
820 S DAMEN AVE # 6331
CHICAGO, IL 60612-3728
Phone number: 312-569-8387