Individual
JOHN D BRAUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1800 COMMUNITY, CLINTON, MO 64735-8804
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
001722
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25840047
BLUE CROSS BLUE SHIELD
MO
05
—
493863203
—
MO
Enumeration date
12/16/2005
Last updated
04/30/2018
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