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1780259408
AUSTIN FISHBACK
MARION, IL
NPI
1780259408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-05-25
Last Update Date
2021-05-25
Business Address
AUSTIN FISHBACK
4505 W DEYOUNG ST STE 203C
MARION, IL 62959-5899
Phone number: 618-283-2222
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Mailing Address
AUSTIN FISHBACK
407 BAINBRIDGE RD
MARION, IL 62959-1313
Phone number: 618-694-9409
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