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1912153412
BRENDA ROSE AUSTIN
MARION, IL
NPI
1912153412
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Former Name
BRENDA ROSE DORETHY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-009627)
Enumeration Date
2008-08-15
Last Update Date
2008-08-15
Business Address
-- BRENDA ROSE AUSTIN L.C.S.W.
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
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Mailing Address
-- BRENDA ROSE AUSTIN L.C.S.W.
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
Copy
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