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1063230456
BRANDON MICHAEL SMITH
SPRINGFIELD, IL
NPI
1063230456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: IL 178.020431)
Enumeration Date
2024-10-02
Last Update Date
2024-10-02
Business Address
Mr. BRANDON MICHAEL SMITH LPC
1025 S 6TH ST
SPRINGFIELD, IL 62703-2499
Phone number: 217-528-7541
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Mailing Address
Mr. BRANDON MICHAEL SMITH LPC
4001 MARIE DR
SPRINGFIELD, IL 62707-8831
Phone number: 217-638-1996
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