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1740309475
BRANT R DYKEHOUSE
CHICAGO, IL
NPI
1740309475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-012761)
Enumeration Date
2007-03-27
Last Update Date
2012-10-16
Business Address
-- BRANT R DYKEHOUSE LCSW
621 W BUCKINGHAM PL UNIT 3
CHICAGO, IL 60657-2421
Phone number: 773-220-1864
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Mailing Address
-- BRANT R DYKEHOUSE LCSW
621 W BUCKINGHAM PL #3
CHICAGO, IL 60657-2421
Phone number: 773-220-1864
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