Individual
MRS. CYNTHIA O BRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 E STATE ST, ROCKFORD, IL 61104-2231
(815) 972-1000
(815) 972-1086
Mailing address
1601 PARKVIEW AVE, CREDENTIALING S200C, ROCKFORD, IL 61107-1822
(815) 395-5861
(815) 395-5575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149022491
IL
Other
Enumeration date
10/24/2011
Last updated
11/01/2023
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