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1437494002
BRENT SIMPSON
CARTERVILLE, IL
NPI
1437494002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2012-12-07
Last Update Date
2020-12-28
Business Address
BRENT SIMPSON
403 MUNICIPAL DR
CARTERVILLE, IL 62918-2042
Phone number: 618-319-6069
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Mailing Address
BRENT SIMPSON
902 W MAIN ST
WEST FRANKFORT, IL 62896-2210
Phone number: 618-937-6483
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