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1164941522
ALLISON DIANE BRASWELL
ROSCOE, IL
NPI
1164941522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 149.018669)
Enumeration Date
2017-09-15
Last Update Date
2020-06-04
Business Address
Mrs. ALLISON DIANE BRASWELL MSW, LCSW
4675 BLUESTEM RD
ROSCOE, IL 61073-7788
Phone number: 815-978-1067
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Mailing Address
Mrs. ALLISON DIANE BRASWELL MSW, LCSW
4675 BLUESTEM RD
ROSCOE, IL 61073-7788
Phone number: 815-978-1067
Copy
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