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1043608680
BRENDA BEVERLY
JACKSON, MI
NPI
1043608680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI 2-00945)
Enumeration Date
2015-01-06
Last Update Date
2015-01-06
Business Address
-- BRENDA BEVERLY CADC
1190 WEST 1190 WEST SUITE 812
JACKSON, MI 49202
Phone number: 517-513-3657
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Mailing Address
-- BRENDA BEVERLY CADC
3817 LONE PINE DR APT 2
HOLT, MI 48842-8800
Phone number: 989-233-1020
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