THOMAS MIEBACH

CHAMPAIGN, IL
NPI1386829117
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies225C00000X Rehabilitation Counselor
Enumeration Date2007-12-28
Last Update Date2013-10-14
Business Address
-- THOMAS MIEBACH
501 W CHURCH ST
CHAMPAIGN, IL 61820-8630
Phone number: 217-351-9744
Mailing Address
-- THOMAS MIEBACH
210 AVENUE C
DANVILLE, IL 61832-5410
Phone number: 217-442-3200
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