Individual
DARCI R BRANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 EAGLE CTR STE 1, O FALLON, IL 62269-1945
(618) 206-8816
Mailing address
101 WESTVIEW DR, WHITE HALL, IL 62092-1136
(217) 415-9883
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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