Individual
EMILY BRAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4755 KINGSWAY DR, INDIANAPOLIS, IN 46205-1549
(463) 237-5290
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34010198A
IN
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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