Individual
MRS. RANDI JO BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1011 HAWTHORNE ST APT 1, DESLOGE, MO 63601-2909
(573) 430-9025
Mailing address
1011 HAWTHORNE ST APT 1, DESLOGE, MO 63601-2909
(573) 430-9025
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2022031248
MO
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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