Kim Lynette Braxton in Patton - Clinical

Kim Lynette Braxton - NPI 1699809707

Kim Lynette Braxton is a Clinical in Patton, California. Kim Lynette Braxton practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kim Lynette Braxton is 1699809707. The last update date is 2022-07-21.

Kim Lynette Braxton's current location address is 3102 E. Highland Avenue, Patton, California. You can contact this provider via phone number 9094257000. The mailing address for Kim Lynette Braxton is 3102 E. Highland Avenue, Patton, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kim Lynette Braxton
Address 3102 E. Highland Avenue, Patton, California
Phone Number 9094257000
Fax Number
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1699809707
Provider Enumeration Date 2007-03-14
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 3102 E. Highland Avenue
City Patton
State California (CA)
Post Code 92369
Phone Number 9094257000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 23535
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Kim Lynette Braxton

What is the Kim Lynette Braxton's unique identification number?

The Kim Lynette Braxton has been assigned the NPI (National Provider Identifier) Number 1699809707 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Kim Lynette Braxton is physically located?

The Kim Lynette Braxton is physically situated at the following address: 3102 E. Highland Avenue, Patton, CA, 92369.

What is the area of specialization for Kim Lynette Braxton, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kim Lynette Braxton is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.

On what date did the Kim Lynette Braxton receive the assignment of its 1699809707 from the Centers for Medicare & Medicaid Services?

The Kim Lynette Braxton was issued its 1699809707 by the Centers for Medicare & Medicaid Services on 2007-03-14.

When was the information regarding Kim Lynette Braxton, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kim Lynette Braxton, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-21.

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