DERRICK BRAXTON

OLATHE, KS
NPI1033403332
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KS  T-LMSW 7995)
Enumeration Date2011-06-03
Last Update Date2011-06-03
Business Address
-- DERRICK BRAXTON TLMSW
21350 W 153RD ST
OLATHE, KS 66061-5413
Phone number: 913-322-2400
Mailing Address
-- DERRICK BRAXTON TLMSW
21350 W 153RD ST
OLATHE, KS 66061-5413
Phone number: 913-322-2400
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