BRANDON DOUGLAS BRANCH

LANSING, IL
NPI1962782441
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-08-28
Last Update Date2023-08-22
Business Address
BRANDON DOUGLAS BRANCH
17537 GREENBAY AVE
LANSING, IL 60438-1913
Phone number: 773-615-5263
Mailing Address
BRANDON DOUGLAS BRANCH
17537 GREENBAY AVE
LANSING, IL 60438-1913
Phone number: 773-615-5263
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