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1225762636
BRENDA LYNN DERRY
MUNCIE, IN
NPI
1225762636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-07-12
Last Update Date
2022-07-12
Business Address
BRENDA LYNN DERRY ACIT II, MATS
3640 N BRIARWOOD LN
MUNCIE, IN 47304-6375
Phone number: 463-777-5621
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Mailing Address
BRENDA LYNN DERRY ACIT II, MATS
3640 N BRIARWOOD LN
MUNCIE, IN 47304-6375
Phone number: 463-777-5621
Copy
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