Individual
MS. JAMEY L BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11200 LARIAT WAY, DODGE CITY, KS 67801-7328
(620) 225-0276
(620) 225-0279
Mailing address
4505 E 47TH ST S, WICHITA, KS 67210-1651
(316) 529-9100
(316) 529-9351
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-LMLP 1435
KS
Other
Enumeration date
07/04/2012
Last updated
07/04/2012
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