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Contact Information

JOHN D BRAUCHER, LCSW
1800 COMMUNITY
CLINTON, MO64735-8804
 Phone: 888-403-1071
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for JOHN D BRAUCHER · (Male)

NPI # 1902882418
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 12/16/2005
Last updated 04/30/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 001722
  • MO Medicaid 493863203
  • MO Other 25840047 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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