Individual
MS. COURTNEY MARIE BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2450 N WADING RIVER RD, WADING RIVER, NY 11792-1402
(631) 929-6200
Mailing address
2450 N WADING RIVER RD, WADING RIVER, NY 11792-1402
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11-1633572
—
NY
Enumeration date
10/05/2022
Last updated
09/25/2023
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