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Individual

BAILEY BROOKENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
343 FOUNTAINS PKWY STE 201, FAIRVIEW HEIGHTS, IL 62208-2170
(618) 515-1441
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 937-6483
(618) 937-1440

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
106S00000X
Behavior Technician
IL

Other

Enumeration date
12/21/2021
Last updated
03/14/2024
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