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1962247452
DAVID BRICKHOUSE
ALTON, IL
NPI
1962247452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-06-27
Last Update Date
2024-06-27
Business Address
DAVID BRICKHOUSE MA
2615 EDWARDS ST
ALTON, IL 62002-3915
Phone number: 618-462-2331
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Mailing Address
DAVID BRICKHOUSE MA
902 W MAIN ST
WEST FRANKFORT, IL 62896-2210
Phone number: 618-937-6483
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