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Individual

BRIANNA MARIE POWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
975 W HAWTHORN DR, ITASCA, IL 60143-2056
(800) 844-1232
Mailing address
717 TIPPERARY CT APT 1B, SCHAUMBURG, IL 60193-3224
(847) 529-8748

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/03/2020
Last updated
06/18/2021
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