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Individual

JAYDA BRINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
800 E GRAND AVE, APT. 40B, CARBONDALE, IL 62901-3509
(618) 314-2607
Mailing address
800 E GRAND AVE, APT. 40B, CARBONDALE, IL 62901-3509
(618) 314-2607

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
06/02/2015
Last updated
06/02/2015
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