Individual
MRS. KAREN J BRAEUTIGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
78 S MAIN ST, RUTLAND, VT 05701-4591
(802) 775-8224
(802) 747-7699
Mailing address
191 ROUTE 73, PO BOX 18, ORWELL, VT 05760-9782
(802) 775-2176
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
089-0001220
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014567
—
VT
Enumeration date
01/21/2008
Last updated
01/22/2015
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