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1003073370
LORRAINE BRAXTON
PHILADELPHIA, PA
NPI
1003073370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-05-22
Last Update Date
2008-05-22
Business Address
-- LORRAINE BRAXTON
4900 WYALUSING AVE
PHILADELPHIA, PA 19131-5127
Phone number: 215-473-7033
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Mailing Address
-- LORRAINE BRAXTON
1328 E CLIVEDEN ST
PHILADELPHIA, PA 19119-3948
Phone number: 215-473-7033
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