Individual
RUBY BRANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
634 KIMBALL ST, PHILADELPHIA, PA 19147-4802
(512) 751-6212
Mailing address
634 KIMBALL ST, PHILADELPHIA, PA 19147-4802
(512) 751-6212
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104113
TX
Other
Enumeration date
08/21/2021
Last updated
09/24/2024
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