Individual
ANDORA BRASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
719 N MAIN ST, MARION, SC 29571-2517
(843) 423-1811
Mailing address
719 N MAIN ST, MARION, SC 29571-2517
(843) 423-1811
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
104100000X
Social Worker
8841
SC
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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