JENNIFER DAYLE KING BROGAN

SAINT LOUIS, MO
NPI1255951398
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MO  4111)
Enumeration Date2020-04-18
Last Update Date2024-09-27
Business Address
JENNIFER DAYLE KING BROGAN CRADC, MARS, CH
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139-1101
Phone number: 314-206-3708
Mailing Address
JENNIFER DAYLE KING BROGAN CRADC, MARS, CH
197 CROSSWINDS DR
ARNOLD, MO 63010-2018
Phone number: 636-204-9766
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