Individual
BRANDIE RACHELLE REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1450 E 10TH ST, ROLLA, MO 65401-3648
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2017024466
MO
1041C0700X
Clinical Social Worker
Primary
2019043425
MO
Other
Enumeration date
07/14/2017
Last updated
04/20/2022
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