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1922733435
BRANDON MICHAEL CARSON
CHAMPAIGN, IL
NPI
1922733435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IL 150.108418)
Enumeration Date
2022-07-19
Last Update Date
2022-07-19
Business Address
BRANDON MICHAEL CARSON LSW
2125 S NEIL ST
CHAMPAIGN, IL 61820-7266
Phone number: 217-352-0200
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Mailing Address
BRANDON MICHAEL CARSON LSW
2125 S NEIL ST
CHAMPAIGN, IL 61820-7266
Phone number: 217-352-0200
Copy
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