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1659345007
MARY C BRUELL
PEORIA, IL
NPI
1659345007
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Other Name
CHRIS BRUELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149008927)
Enumeration Date
2006-02-14
Last Update Date
2009-11-25
Business Address
-- MARY C BRUELL LCSW
DEPT OF PSYCHIATRY 221 NE GLEN OAK 7 WEST
PEORIA, IL 61636-0001
Phone number: 309-671-8222
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Mailing Address
-- MARY C BRUELL LCSW
1 ILLINI DR
PEORIA, IL 61605-2576
Phone number: 309-671-8503
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