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Individual

KENNETH BRODRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., LPC

Contact information

Practice address
424 E NORTON RD, SPRINGFIELD, MO 65803-3638
(417) 883-6809
Mailing address
424 E NORTON RD, SPRINGFIELD, MO 65803-3638
(417) 883-6809

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2014044149
MO

Other

Enumeration date
01/01/2015
Last updated
08/01/2024
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