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Individual
MR. BRANDON JAMES MOCK
Active
Individual
MR. BRANDON JAMES MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATR-BC, LPC, LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2002008097
MO
106H00000X
Marriage & Family Therapist
Primary
684
KS
Other
Enumeration date
12/06/2006
Last updated
09/07/2011
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