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Individual

MRS. JAN BRAUTIGAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
501 1ST CAPITOL DR, SUITE 4, SAINT CHARLES, MO 63301-2768
(636) 946-1500
(636) 946-1516
Mailing address
16 HICKORY HILL DR, O FALLON, MO 63366-1948
(636) 379-0294

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001311
MO

Other

Enumeration date
10/10/2006
Last updated
07/08/2007
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