Individual
ABBY LEVERETT BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW, PHD
Contact information
Practice address
1800 OLD PECOS TRAIL, SUITE P, SANTA FE, NM 87505
(505) 820-2236
(505) 466-1257
Mailing address
12 BUEN PASTOR, SANTA FE, NM 87508
(505) 820-2236
(505) 466-1257
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-3023
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000J9731
—
NM
01
—
11803
PRESBYTERIAN HEALTH PLAN
NM
Enumeration date
10/03/2006
Last updated
07/08/2007
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