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1467738328
CYNTHIA O BRUSH
ROCKFORD, IL
NPI
1467738328
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Former Name
CYNTHIA O SENGBOUNOUVONG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149022491)
Enumeration Date
2011-10-24
Last Update Date
2023-11-01
Business Address
Mrs. CYNTHIA O BRUSH
1221 E STATE ST
ROCKFORD, IL 61104-2231
Phone number: 815-972-1000
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Mailing Address
Mrs. CYNTHIA O BRUSH
1601 PARKVIEW AVE CREDENTIALING S200C
ROCKFORD, IL 61107-1822
Phone number: 815-395-5861
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