Individual
MS. AMY B BRENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17844 E 23RD ST S, INDEPENDENCE, MO 64057-1840
(816) 254-3652
(816) 254-9243
Mailing address
17844 E 23RD ST S, INDEPENDENCE, MO 64057-1840
(816) 254-3652
(816) 254-9243
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2009038076
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12545159
CAQH
MO
Enumeration date
05/30/2013
Last updated
05/30/2013
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