Individual
MRS. DANA C BRANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CASAC
Contact information
Practice address
20 S SPRIGG ST, CAPE GIRARDEAU, MO 63703-6212
(573) 651-4177
(573) 651-3636
Mailing address
20 S SPRIGG ST, CAPE GIRARDEAU, MO 63703-6212
(573) 651-4177
(573) 651-3636
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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