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1104989193
BRIAN CHARLES WENNBERG
CHAMPAIGN, IL
NPI
1104989193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-12-19
Last Update Date
2007-07-08
Business Address
Mr. BRIAN CHARLES WENNBERG B.A.
202 W. PARK
CHAMPAIGN, IL 61820-3928
Phone number: 217-373-2430
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Mailing Address
Mr. BRIAN CHARLES WENNBERG B.A.
202 W. PARK
CHAMPAIGN, IL 61820-3928
Phone number: 217-373-2430
Copy
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