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NPI Profile for BRENDA G BARKER in GRANITE CITY, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1659702017 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/10/2013 | |
| Last updated | 12/10/2013 - About 12 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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BRENDA G BARKER
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BRENDA G BARKER