Individual
MS. GAIL BRAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
741 BROADWAY, NEWARK, NJ 07104
(973) 675-1900
(973) 676-1396
Mailing address
741 BROADWAY, NEWARK, NJ 07104
(973) 675-1900
(973) 676-1396
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R034474-1
NY
Other
Enumeration date
01/19/2011
Last updated
03/12/2018
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