Individual
MR. LAWRENCE BRACY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3275 MORRELL AVE FL 1, PHILADELPHIA, PA 19114-1117
(267) 333-5280
Mailing address
3275 MORRELL AVE FL 1, PHILADELPHIA, PA 19114-1117
(267) 333-5280
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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