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Individual

BRAELYN RIESEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
5322 BARTLETT RD, ROME, NY 13440-1204
(315) 886-3152
Mailing address
5322 BARTLETT RD, ROME, NY 13440-1204

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131156
NY
106S00000X
Behavior Technician
Primary
23258319
NY

Other

Enumeration date
06/01/2023
Last updated
04/14/2026
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