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Individual

BRANDY M GANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PLPC, MA

Contact information

Practice address
1450 E 10TH ST, ROLLA, MO 65401-3648
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2022014700
MO

Other

Enumeration date
05/03/2022
Last updated
05/03/2022
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