Individual
MR. RICKIE LORENZO BRATTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
1490 OLIVE, SUITE 500, ST.LOUIS, MO 63103
(314) 206-3700
Mailing address
1490 OLIVE SUITE 500, ST.LOUIS, MO 63103
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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