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Individual

MRS. DANA C BRANSON

Active
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Individual

MRS. DANA C BRANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, CASAC

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005663
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11333199
CAQH
01
162909
BLUE CROSS BLUE SHIELD
01
2111503
FIRST HEALTH/COVENTRY
01
431116734
UNITED BEHAVIORAL HEALTH
01
43111673463857A
TRI CARE WEST
05
494750326
MO
01
51130
MOUNT CARMEL
01
713386
HEALTHLINK PPO
Enumeration date
06/23/2005
Last updated
07/11/2008
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