Individual
BRYAN MICHAEL DEUTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
610 E JOHN ST, CHAMPAIGN, IL 61820-5717
(217) 333-3704
Mailing address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-3000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
149020691
IL
Other
Enumeration date
07/13/2011
Last updated
03/11/2021
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