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Individual

BRANDY HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12 N 64TH ST, SUITE 5, BELLEVILLE, IL 62223-3809
(618) 416-2821
Mailing address
68 ASHBROOKE, TROY, IL 62294-2493
(618) 789-4993

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
11/30/2016
Last updated
11/30/2016
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