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Individual

MITCHELL DANE BRAUCHLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
14536 BRECON LN, CARMEL, IN 46074-6042
(260) 385-0704
Mailing address
14536 BRECON LN, CARMEL, IN 46074-6042
(260) 385-0704

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34011934A
IN

Other

Enumeration date
04/22/2025
Last updated
04/22/2025
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