Individual
BRAEDON GERARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CAP
Contact information
Practice address
305 S HYDE PARK AVE, TAMPA, FL 33606-2233
(813) 251-8437
(813) 259-1415
Mailing address
305 S HYDE PARK AVE, TAMPA, FL 33606-2233
(813) 251-8437
(813) 259-1415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 11692
FL
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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