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Individual

ABBY LEVERETT BRAUN

Active
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Individual

ABBY LEVERETT BRAUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW, PHD

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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