Individual
JEFFREY THOMAS BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4245 FOREST PARK AVE, SAINT LOUIS, MO 63108-2810
(314) 286-4545
Mailing address
4245 FOREST PARK AVE, SAINT LOUIS, MO 63108-2810
(314) 286-4545
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2024043792
MO
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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