Karen J Braeutigam LICSW

NPI 1134305113 - Counselor - 101Y00000X

NPI Details
NPI 1134305113
Gender Female
Enumeration Date 01/21/2008
Last Updated 01/22/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
78 S MAIN ST
RUTLAND VT, 05701-4591, US
Phone (802) 775-8224
Fax (802) 747-7699
Business Location
191 ROUTE 73
PO BOX 18
ORWELL VT, 05760-9782, US
Phone (802) 775-2176
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State Vermont
License Number 089-0001220
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According to our database, Mrs. Karen J Braeutigam LICSW NPI is 1134305113, taxonomy code is 101Y00000X and license number is 089-0001220, license state is located at Vermont. Karen J Braeutigam LICSW physically located at 78 S Main St, Rutland VT, 05701-4591. NPI Number Karen J Braeutigam LICSW has the Individual type.

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1134305113 NPI number is provided on an as is basis without warranty of any kind. 1134305113 is maintained by the National Plan & Provider Enumeration System. The contents of Karen J Braeutigam LICSW are for informational purposes only.