Individual
ELIZABETH BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1510 W OTTAWA RD, PAXTON, IL 60957-4090
(217) 379-4302
Mailing address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/03/2010
Last updated
09/10/2019
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