Individual
MERLENE GAY BRUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. L.P.C.
Contact information
Practice address
5239 BLUE RIDGE BLVD, RAYTOWN, MO 64133-3060
(816) 356-1354
Mailing address
5239 BLUE RIDGE BLVD, RAYTOWN, MO 64133-3060
(816) 356-1354
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002255
MO
Other
Enumeration date
02/04/2007
Last updated
07/08/2007
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