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1649407479
NICHOLAS S BRANOCK
EVANSTON, IL
NPI
1649407479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149012784)
Enumeration Date
2009-06-19
Last Update Date
2009-06-19
Business Address
-- NICHOLAS S BRANOCK LCSW
600 DAVIS ST
EVANSTON, IL 60201-4488
Phone number: 847-220-2527
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Mailing Address
-- NICHOLAS S BRANOCK LCSW
5600 N SHERIDAN RD APT 14B
CHICAGO, IL 60660-4828
Phone number:
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