Individual
TERRY BRAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 SHAWNEE ST, LEAVENWORTH, KS 66048-1631
(913) 306-2104
Mailing address
1911 SHAWNEE ST, LEAVENWORTH, KS 66048-1631
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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