Individual
MR. JEFFREY G. BRENNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
12400 OLIVE BLVD, SUITE 205, SAINT LOUIS, MO 63141-5454
(314) 910-8608
(314) 910-8608
Mailing address
8 CHERRI LN, SAINT LOUIS, MO 63132-4103
(314) 910-8608
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20020001381
MO
Other
Enumeration date
07/27/2006
Last updated
07/23/2010
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