BRIAN BRANUM

KENNETT, MO
NPI1043468770
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-09-06
Last Update Date2008-09-06
Business Address
-- BRIAN BRANUM RASAC I, BS
1109 JONES ST
KENNETT, MO 63857-3824
Phone number: 573-888-6545
Mailing Address
-- BRIAN BRANUM RASAC I, BS
1109 JONES ST
KENNETT, MO 63857-3824
Phone number: 573-888-6545