Brandon Keith Miller, LSW

NPI #1255940599 in Champaign, Illinois

Provider Information

NPI Number: 1255940599
Entity Type: Individual
Name: Brandon Keith Miller, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Jul 22, 2020
Last Updated: Sep 30, 2020

Practice Location

Address: 309 W CLARK ST
City: Champaign
State: Illinois
ZIP Code: 61820-4637
Phone: (217) 398-9066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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