Meredith Braddock LCSW

NPI 1609020247 - Social Worker - 1041C0700X

NPI Details
NPI 1609020247
Gender Female
Enumeration Date 11/10/2008
Last Updated 07/15/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
6 E MAIN ST
#1
RIVERHEAD NY, 11901-2428, US
Phone (631) 664-1033
Fax
Business Location
6 E MAIN ST
#1
RIVERHEAD NY, 11901-2428, US
Phone (631) 664-1033
Fax (718) 779-7775
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number 079096-1
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According to our database, Ms. Meredith Braddock LCSW NPI is 1609020247, taxonomy code is 1041C0700X and license number is 079096-1, license state is located at New York. Meredith Braddock LCSW physically located at 6 E Main St, Riverhead NY, 11901-2428. NPI Number Meredith Braddock LCSW has the Individual type.

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1609020247 NPI number is provided on an as is basis without warranty of any kind. 1609020247 is maintained by the National Plan & Provider Enumeration System. The contents of Meredith Braddock LCSW are for informational purposes only.