Individual
EMILY K BRADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 HAZEL LN STE 300, SEWICKLEY, PA 15143-1253
(412) 749-7331
Mailing address
111 HAZEL LN STE 300, SEWICKLEY, PA 15143-1253
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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