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1497002679
BRIAN JERALD MUELLER
ROCKFORD, IL
NPI
1497002679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178.007967)
Enumeration Date
2012-08-07
Last Update Date
2014-08-05
Business Address
-- BRIAN JERALD MUELLER LPC
8616 NORTHERN AVE
ROCKFORD, IL 61107-5309
Phone number: 815-979-3402
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Mailing Address
-- BRIAN JERALD MUELLER LPC
232 MCMILLAN CT APT. 201
CORTLAND, IL 60112-4169
Phone number: 815-299-2560
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