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Individual

BRENNA SHEPARD PROEHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
2100 COMMERCE DR, PARSONS, KS 67357-4951
(620) 717-4450
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12143
KS

Other

Enumeration date
08/18/2020
Last updated
01/15/2025
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