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1922384932
BRIANNA WALLER
MARION, IL
NPI
1922384932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2011-10-24
Last Update Date
2011-10-24
Business Address
-- BRIANNA WALLER MS
1307 W MAIN ST
MARION, IL 62959-1139
Phone number: 618-997-5336
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Mailing Address
-- BRIANNA WALLER MS
500 BARNETT AVE APT B
CARTERVILLE, IL 62918-5099
Phone number: 618-435-7893
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