Individual
GENA LAUREN BRAITERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
7702 DUNMANWAY, BALTIMORE, MD 21222-5436
(410) 282-1792
(410) 282-3195
Mailing address
910 W 38TH ST, BALTIMORE, MD 21211-2211
(410) 889-0030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
MD
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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