Individual
JULIE D BROYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, MA
Contact information
Practice address
501 S SUNSET LN, RAYMORE, MO 64083-9235
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1999140251
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495099509
—
MO
Enumeration date
12/16/2005
Last updated
06/25/2021
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