Individual
BRENNA MICHELLE PARDIECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 W CHARTWELL RD, PEORIA, IL 61614-8151
(309) 224-9297
Mailing address
3700 W CHARTWELL RD, PEORIA, IL 61614-8151
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1893747
IL
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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