Individual
ROGELIO BRATHWAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
240 REGENT ST, BUSHKILL, PA 18324-8981
(570) 994-9778
Mailing address
PO BOX 552, MARSHALLS CREEK, PA 18335-0552
(570) 994-9778
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW131188
PA
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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