Individual
MS. BARBRA B BRAITHWAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
103 WEST U.S. 2, WAKEFIELD, MI 49968
(906) 229-6120
(906) 229-6191
Mailing address
27790 WEST M-64, ONTONAGON, MI 49953
(906) 884-4474
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
L964866
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L964866
LLP
MI
Enumeration date
05/17/2007
Last updated
07/08/2007
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