Individual
COLETTE BRAUNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
749 STATE ROAD 60 E, LAKE WALES, FL 33853-4240
(863) 676-3136
(863) 678-0263
Mailing address
749 STATE ROAD 60 E, LAKE WALES, FL 33853-4240
(863) 676-3136
(863) 678-0263
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW7893
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
768565300
—
FL
Enumeration date
05/24/2006
Last updated
05/09/2011
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