Individual
DEBERA BRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1620 S MILLER ST, SHELBYVILLE, IN 46176-2951
(317) 642-7194
Mailing address
1620 S MILLER ST, SHELBYVILLE, IN 46176-2951
(317) 642-7194
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
35001652A
IN
Other
Enumeration date
01/28/2009
Last updated
09/16/2011
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