LORI BRAX LSCSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1245528132- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LSCSW
- Status
- Active
Contact & Location
- Address
- 5815 BROADWAY AVE, GREAT BEND, KS, 675303123
- Phone
- (620) 792-2544
Specialties & Taxonomies
Social Worker
License: KS #2736
Social Worker, Clinical
Primary License: KS #4697