Most Relevant Information
Provider Data
| NPI Number: | 1003499310 |
| Provider Name: | LAURA BRASWELL M.DIV LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | SW6960 |
Most Important Dates
| Enumeration Date: | 05/04/2021 |
| Last Updated: | 05/04/2021 |
Provider Practice Location
2625 HOLLINGSWORTH HILL AVE
LAKELAND
FL
338033238
Practice Location Phone/Fax
| Phone: | 8636605243 |
| Fax: |
Provider Mailing Location
2625 HOLLINGSWORTH HILL AVE
LAKELAND
FL
338033238
Provider Mailing Phone/Fax
| Phone: | 8636605243 |
| Fax: |