Brenda Sullivan-rice LCSW

NPI 1073712626 - Social Worker - 1041C0700X

NPI Details
NPI 1073712626
Gender Female
Enumeration Date 07/13/2007
Last Updated 10/17/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
1006 S DIVISION ST
CARTERVILLE IL, 62918-1539, US
Phone (618) 985-4841
Fax (618) 985-8101
Business Location
109 CALIFORNIA ST
P O BOX 577
CARTERVILLE IL, 62918-0577, US
Phone (618) 985-3151
Fax (618) 985-4635
Toxanomy
Taxonomy Code 1041C0700X
License State Illinois
License Number 149006017
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According to our database, Brenda Sullivan-rice LCSW NPI is 1073712626, taxonomy code is 1041C0700X and license number is 149006017, license state is located at Illinois. Brenda Sullivan-rice LCSW physically located at 1006 S Division St, Carterville IL, 62918-1539. NPI Number Brenda Sullivan-rice LCSW has the Individual type.

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1073712626 NPI number is provided on an as is basis without warranty of any kind. 1073712626 is maintained by the National Plan & Provider Enumeration System. The contents of Brenda Sullivan-rice LCSW are for informational purposes only.