Individual
GLENNA BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 8TH AVE, TERRE HAUTE, IN 47804-4072
(812) 231-8376
(812) 231-8208
Mailing address
620 8TH AVE, TERRE HAUTE, IN 47804-2744
(812) 231-8323
(812) 231-8400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006514A
IN
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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