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Individual

BRITTANY MICHELLE EWING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
309 W CLARK ST, CHAMPAIGN, IL 61820-4637
(217) 398-9066
(217) 398-9077
Mailing address
309 W CLARK ST, CHAMPAIGN, IL 61820-4637
(217) 398-9066
(217) 398-9077

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/29/2021
Last updated
09/29/2021
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