Individual
AMANDA BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 752, TOLONO, IL 61880-0752
(765) 390-1186
Mailing address
PO BOX 752, TOLONO, IL 61880-0752
(765) 390-1186
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.020550
IL
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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