Individual
ASHLEA LYNN BRANDENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 THE HEATHER, CHAMPAIGN, IL 61820-2623
(217) 417-9957
Mailing address
6 THE HEATHER, CHAMPAIGN, IL 61820-2623
(217) 417-9957
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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