JERRELL BRAXTON

MILWAUKEE, WI
NPI1205966561
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  3168-123)
Enumeration Date2007-03-06
Last Update Date2007-07-08
Business Address
-- JERRELL BRAXTON LCSW
230 W WELLS ST SUITE 630
MILWAUKEE, WI 53203-1866
Phone number: 414-272-5005
Mailing Address
-- JERRELL BRAXTON LCSW
230 W WELLS ST SUITE 630
MILWAUKEE, WI 53203-1866
Phone number: 414-272-5005
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