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1275504623
BRANDY RUSSELL-MERVOSH
BLOOMINGTON, IN
NPI
1275504623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34002977A)
Enumeration Date
2006-02-01
Last Update Date
2017-02-17
Business Address
Ms. BRANDY RUSSELL-MERVOSH LCSW
901 S ROGERS ST
BLOOMINGTON, IN 47403-4760
Phone number: 812-323-9890
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Mailing Address
Ms. BRANDY RUSSELL-MERVOSH LCSW
PO BOX 599
SPENCER, IN 47460-0599
Phone number: 812-829-2526
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