Individual
MISS DONNA MARIE BRANCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW, MSW, BCD, LCSW
Contact information
Practice address
12303 DEPAUL DRIVE, BRIDGETON, MO 63044-2512
(314) 344-7170
Mailing address
12303 DEPAUL DRIVE, BRIDGETON, MO 63044-2512
(314) 344-7170
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001373
MO
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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