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1164796819
TIMOTHY BRANDT
WAUKEGAN, IL
NPI
1164796819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-02-28
Last Update Date
2012-02-28
Business Address
-- TIMOTHY BRANDT
3002 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8088
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Mailing Address
-- TIMOTHY BRANDT
3002 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8088
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