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1942551171
AMANDA BROCKWAY
CHAMPAIGN, IL
NPI
1942551171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2012-09-27
Last Update Date
2012-09-27
Business Address
-- AMANDA BROCKWAY
1112 LINCOLNSHIRE DR
CHAMPAIGN, IL 61821-5606
Phone number: 217-355-1697
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Mailing Address
-- AMANDA BROCKWAY
1112 LINCOLNSHIRE DR
CHAMPAIGN, IL 61821-5606
Phone number:
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