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Individual

MR. BRANDON PRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MDIV, LMSW

Contact information

Practice address
2708 W 43RD AVE, KANSAS CITY, KS 66103-3125
(913) 708-8247
Mailing address
10300 E 81ST ST, RAYTOWN, MO 64138-2110
(804) 840-3550

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12166
KS

Other

Enumeration date
07/20/2021
Last updated
07/20/2021
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