Individual
MS. CRYSTAL LYN BROKERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
782 WISEMAN RD., MARSHFIELD, MO 65706
(417) 234-2271
Mailing address
782 WISEMAN RD., MARSHFIELD, MO 65706
(417) 234-2271
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2007016353
MO
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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