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1679701593
LAVERNE RUSSELL BRAXTON
BALTIMORE, MD
NPI
1679701593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 04159)
Enumeration Date
2009-06-30
Last Update Date
2009-06-30
Business Address
Ms. LAVERNE RUSSELL BRAXTON LCSW-C
2609 ALLENDALE RD
BALTIMORE, MD 21216-2109
Phone number: 410-466-6978
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Mailing Address
Ms. LAVERNE RUSSELL BRAXTON LCSW-C
2609 ALLENDALE RD
BALTIMORE, MD 21216-2109
Phone number: 410-466-6978
Copy
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