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Individual

MRS. SAMANTHA RENEE BRAEUNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
402 S SILVER SPRINGS RD, CAPE GIRARDEAU, MO 63703-7536
(573) 334-1100
(573) 651-4345
Mailing address
402 S SILVER SPRINGS RD, CAPE GIRARDEAU, MO 63703-7536
(573) 334-1100
(573) 651-4345

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
2019038992
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
490057927
MO
Enumeration date
07/20/2018
Last updated
06/24/2021
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