Stacy Brathwaite

NPI #1932416369 in Viera, Florida

Provider Information

NPI Number: 1932416369
Entity Type: Individual
Name: Stacy Brathwaite
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Sep 7, 2010
Last Updated: Jan 22, 2013

Practice Location

Address: 2565 JUDGE FRAN JAMIESON WAY
City: Viera
State: Florida
ZIP Code: 32940-5998
Phone: (321) 409-2136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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