Individual
MS. GWENDOLYN MCCLELLAND BRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2738 E 00 NS, KOKOMO, IN 46901-6631
(765) 860-2511
Mailing address
2738 E 00 NS, KOKOMO, IN 46901-6631
(765) 860-2511
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
1071839
IN
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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