MS. Angelique Alisia Brathwaite, LCSW-C

NPI #1952683484 in Bladensburg, Maryland

Provider Information

NPI Number: 1952683484
Entity Type: Individual
Name: MS. Angelique Alisia Brathwaite, LCSW-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW-C
Enumeration Date: Sep 11, 2011
Last Updated: Sep 11, 2011

Practice Location

Address: 5800 ANNAPOLIS RD APT 801
City: Bladensburg
State: Maryland
ZIP Code: 20710-2020
Phone: (410) 504-2776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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