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1275766222
BRENDA S ASHLEY
VIENNA, IL
NPI
1275766222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-08-25
Last Update Date
2009-08-25
Business Address
Mrs. BRENDA S ASHLEY BS, MHP
408 E VINE ST
VIENNA, IL 62995-1612
Phone number: 618-658-2611
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Mailing Address
Mrs. BRENDA S ASHLEY BS, MHP
PO BOX 105
GOREVILLE, IL 62939-0105
Phone number: 618-751-0752
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