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1861185951
BRENT SHOWALTER
CHICAGO, IL
NPI
1861185951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 178.017916)
Enumeration Date
2023-06-02
Last Update Date
2023-06-02
Business Address
BRENT SHOWALTER
4442 N BEACON ST APT 3
CHICAGO, IL 60640-6265
Phone number: 573-289-4745
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Mailing Address
BRENT SHOWALTER
4442 N BEACON ST APT 3
CHICAGO, IL 60640-6265
Phone number: 573-289-4745
Copy
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