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1770193823
MICHAEL JOHN BRICK
BEND, OR
NPI
1770193823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-08-04
Last Update Date
2020-08-04
Business Address
MICHAEL JOHN BRICK QMHP
369 NE REVERE AVE STE 101
BEND, OR 97701-4082
Phone number: 541-728-0062
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Mailing Address
MICHAEL JOHN BRICK QMHP
369 NE REVERE AVE STE 101
BEND, OR 97701-4082
Phone number: 541-728-0062
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