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1407379555
JOHNATHAN BRENNER
BLOOMINGDALE, IL
NPI
1407379555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: IL 2056540)
Enumeration Date
2017-07-20
Last Update Date
2017-07-20
Business Address
JOHNATHAN BRENNER MA, Ed.S.
125 FAIRFIELD WAY
BLOOMINGDALE, IL 60108-1597
Phone number: 630-440-5406
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Mailing Address
JOHNATHAN BRENNER MA, Ed.S.
1691 JOSEPH CT
BUFFALO GROVE, IL 60089-6892
Phone number: 847-778-7156
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