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Individual

BERTHA MARY BRACKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
116 W 32ND ST, NEW YORK, NY 10001-3212
(212) 564-2350
Mailing address
9281 SHORE RD APT 200, BROOKLYN, NY 11209-6619
(917) 449-6358

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0711741
NY

Other

Enumeration date
12/22/2008
Last updated
12/22/2008
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