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Individual

BRANDON MICHAEL CARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
116 S LOMBARD ST, MAHOMET, IL 61853-9202
(217) 352-0200
(217) 607-1139
Mailing address
2125 S NEIL ST, CHAMPAIGN, IL 61820-7266
(217) 352-0200
(217) 607-1139

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.108418
IL

Other

Enumeration date
07/19/2022
Last updated
06/10/2025
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