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1356787741
STEPHENIE AUSTIN-BRUSATTE
CHAMPAIGN, IL
NPI
1356787741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2013-05-13
Last Update Date
2021-05-13
Business Address
STEPHENIE AUSTIN-BRUSATTE
206 N RANDOLPH ST STE 228
CHAMPAIGN, IL 61820-3949
Phone number: 765-280-3032
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Mailing Address
STEPHENIE AUSTIN-BRUSATTE
1510 W OTTAWA RD
PAXTON, IL 60957-4090
Phone number: 217-379-4302
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