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KELLY BROTHERTON, LPC

LPC

Social Worker

NPI: 1740294750IndividualAccepts Medicare

Specialties, Licenses & Credentials

Professional Counselor

Counselor — Professional

Code: 101YP2500X

2009023502(MO)
Social WorkerPrimary

Social Worker

Code: 104100000X

CMS Specialties

PrimaryMENTAL HEALTH COUNSELOR

Education

OTHER

Class of 2005

Contact & Hours

Address
1085 MAPLE ST
FARMINGTON, MO 63640

Quick Facts

NPI
1740294750
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
21

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