Individual
BRADY LORENC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3820 W POPPY LN, BATTLEFIELD, MO 65619-5201
(417) 848-8515
Mailing address
3820 W POPPY LN, BATTLEFIELD, MO 65619-5201
(417) 848-8515
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2010033381
MO
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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