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Individual

LAURA J BRACKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3286 IVANHOE AVE, SAINT LOUIS, MO 63139-2246
(314) 899-0253
Mailing address
5601 GRESHAM AVE, SAINT LOUIS, MO 63109-3709
(314) 322-9316

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180.015326
IL
101YP2500X
Professional Counselor
Primary
2016031600
MO

Other

Enumeration date
04/27/2017
Last updated
04/23/2025
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