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Individual

MR. SCOTT ALLEN LANDELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.S., MHP

Contact information

Practice address
202 W PARK AVE, CHAMPAIGN, IL 61820-3929
(217) 373-2430
(217) 373-2444
Mailing address
306 MILLER AVE, CHAMPAIGN, IL 61821-2444
(217) 352-3814

Taxonomy

Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary

Other

Enumeration date
05/23/2007
Last updated
07/08/2007
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