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1255940599
BRANDON KEITH MILLER
CHAMPAIGN, IL
NPI
1255940599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IL 150.104394)
Enumeration Date
2020-07-22
Last Update Date
2020-09-30
Business Address
BRANDON KEITH MILLER LSW
309 W CLARK ST
CHAMPAIGN, IL 61820-4637
Phone number: 217-398-9066
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Mailing Address
BRANDON KEITH MILLER LSW
403 COMPTON AVE
CHAMPAIGN, IL 61822-7353
Phone number: 331-425-5283
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