Organization
MARIANNE B. BRANHAM, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE BRANHAM (SOLE OWNER)
(573) 817-9611
Entity
Organization
Contact information
Practice address
2716 FORUM BLVD., SUITE 4B, COLUMBIA, MO 65203
(573) 817-9611
(573) 817-9610
Mailing address
2716 FORUM BLVD STE 4B, COLUMBIA, MO 65203-5450
(573) 817-9611
(573) 817-9610
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW005043
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10849131
CAQH
MO
01
—
1124105622
NPI
MO
Enumeration date
09/15/2017
Last updated
07/21/2022
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