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Individual

MELODY BRAVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4140 S FAIRVIEW AVE STE 104, SPRINGFIELD, MO 65807-4857
(417) 234-9857
Mailing address
PO BOX 14136, SPRINGFIELD, MO 65814-0136
(510) 633-3356

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2015028638
MO

Other

Enumeration date
12/17/2015
Last updated
10/25/2019
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