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Individual

KELLY R BRANDSGAARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
4 WESTOWNE ST STE 403, LIBERTY, MO 64068-3511
(816) 407-1754
(816) 407-1739
Mailing address
900 E LAHARPE ST, KIRKSVILLE, MO 63501-4520
(660) 665-1962
(660) 665-3989

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2010041602
MO

Other

Enumeration date
06/27/2012
Last updated
06/27/2012
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