MIRANDA LYNN BRENNECKE

SAINT LOUIS, MO
NPI1063959492
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  2011012128)
Enumeration Date2017-01-24
Last Update Date2018-04-11
Business Address
Mrs. MIRANDA LYNN BRENNECKE LCSW
4130 LINDELL BLVD
SAINT LOUIS, MO 63108-2914
Phone number: 314-535-5600
Mailing Address
Mrs. MIRANDA LYNN BRENNECKE LCSW
4130 LINDELL BLVD
SAINT LOUIS, MO 63108-2914
Phone number: 314-535-5600
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