Individual
CONSTANCE LYNNETTE BRASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
109 LEE AVE, SUITE 3, LAMAR, CO 81052-3717
(719) 336-0478
(719) 384-8411
Mailing address
711 BARNES AVE, LA JUNTA, CO 81050-2138
(719) 384-5446
(719) 384-5672
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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