Individual
MARY HEATHER BRANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3101 TROOST AVE, KANSAS CITY, MO 64109-1845
(816) 931-4751
Mailing address
22711 E 29TH STREET LANE CT S, BLUE SPRINGS, MO 64015-7319
(816) 220-0204
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2007004136
MO
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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