Individual
BRANDON BECK CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLP
Contact information
Practice address
307 N MAIN ST, WINDSOR, MO 65360-1449
(888) 403-1071
(660) 647-3617
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
2019039855
MO
Other
Enumeration date
07/15/2015
Last updated
10/16/2019
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