Individual
BRAELYNE MARIE HAMMON
Active
Individual
BRAELYNE MARIE HAMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW71644
CA
1041C0700X
Clinical Social Worker
Primary
LW60990264
WA
225400000X
Rehabilitation Practitioner
Y2862914
CA
390200000X
Student in an Organized Health Care Education/Training Program
HAMMOBM073KL
WA
Other
Enumeration date
06/11/2015
Last updated
01/12/2021
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