Provider Information for 1003162520
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Mrs. DANIELLE BRANDY WEBB LCSW,CADC
Sex: Female
NPI: 1003162520
Last Updated: 2019-03-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1003162520 | ||||||||||||
| Enumeration Date | 2012-08-02 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 600 W FULTON ST CHICAGO, IL 60661-1259 United States Phone: 312-526-2200 | Fax: | ||||||||||||
| Primary Practice Address | 4839 W 47TH ST CHICAGO, IL 60638-2039 United States Phone: 773-735-2345 | Fax:773-735-4025 | ||||||||||||
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