KELLY JEANNE BROTHERTON

FARMINGTON, MO
NPI1740294750
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: MO  2009023502)
Enumeration Date2006-07-27
Last Update Date2024-02-02
Business Address
Mrs. KELLY JEANNE BROTHERTON LPC
1085 MAPLE ST
FARMINGTON, MO 63640-1955
Phone number: 573-756-5353
Mailing Address
Mrs. KELLY JEANNE BROTHERTON LPC
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139-1101
Phone number: 314-206-3700