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1912036955
TERRY D BRENNER
SOUTH BEND, IN
NPI
1912036955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
-- TERRY D BRENNER MSW
403 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-283-1107
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Mailing Address
-- TERRY D BRENNER MSW
748 MAPLE ST
NILES, MI 49120-3255
Phone number: 269-683-8751
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