Individual
BRENNA ISHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1805 E WALNUT ST, COLUMBIA, MO 65201-6425
(573) 777-7500
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(141) 776-1500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0000
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MO
Enumeration date
08/25/2022
Last updated
08/25/2022
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