Individual
GWENDOLYN MARIE BRAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
1615 JOHNSON ST, JENNINGS, LA 70546
(337) 616-0225
Mailing address
1615 JOHNSON ST, JENNINGS, LA 70546-3650
(337) 616-0225
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/01/2017
Last updated
07/30/2018
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