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1407211089
SANDRA BRUDENT
CHICAGO, IL
NPI
1407211089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-12-23
Last Update Date
2015-12-23
Business Address
-- SANDRA BRUDENT
5910 W DIVISION ST
CHICAGO, IL 60651-1031
Phone number: 773-777-7112
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Mailing Address
-- SANDRA BRUDENT
1803 S CALIFORNIA AVE
CHICAGO, IL 60608-2482
Phone number: 847-721-9654
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