Individual
VANESSA BRASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3804 BURLINGTON DR, FAYETTEVILLE, NC 28312-7022
(910) 583-0512
Mailing address
3804 BURLINGTON DR, FAYETTEVILLE, NC 28312-7022
(910) 583-0512
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
—
NC
1041S0200X
School Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7681946
DL
NC
Enumeration date
12/08/2021
Last updated
12/08/2021
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