NPI | 1609005933 |
---|---|
Former Name | LORRIE ANN BRAGG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I0900028) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH I0900028) |
Enumeration Date | 2009-07-08 |
Last Update Date | 2010-08-03 |