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Individual

CLAIRE BREIDENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
518 N RAPP AVE, COLUMBIA, IL 62236-1425
(815) 228-6320
Mailing address
518 N RAPP AVE, COLUMBIA, IL 62236-1425
(815) 228-6320

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
S.1904500
OH
1041C0700X
Clinical Social Worker
Primary
I.2304374
OH

Other

Enumeration date
09/10/2019
Last updated
07/29/2025
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