Search › Illinois › 1041C0700X
Randi Bryan, LCSW
NPI 1871241018 · on the registry since 2022 · sole proprietor
Practice
- Address
- 402 Hankes Rd
Sugar Grove, IL 60554 - Phone
- (757) 784-8295
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- VA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois