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Organization

BRAIN TRAINING CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY BRIGGS SLP (SPEECH LANGUAGE PATHOLOGIST)
(618) 599-0534
Entity
Organization

Contact information

Practice address
1981 IL HIGHWAY 15, FAIRFIELD, IL 62837-2811
(618) 599-0534
Mailing address
108 SE 3RD ST, FAIRFIELD, IL 62837, FAIRFIELD, IL 62837-2138
(618) 842-5487

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
146004676
IL

Other

Enumeration date
02/29/2016
Last updated
06/15/2016
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