Mary Catherine Bravo, LCSW
Social Worker, Clinical in Tallahassee, FL. Individual provider (NPI-1).
NPI number1013661941
StatusActive
Last updated in NPPESFeb 9, 2022
Details
- NPI
- 1013661941
- Entity type
- Individual (NPI-1)
- Name
- Mary Catherine Bravo
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 9, 2022
- Certification date
- Feb 9, 2022
- Last updated
- Feb 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW19489 | FL | Yes |
Practice location
3333 W Pensacola St Ste 400Tallahassee, FL 32304-2892
Phone 850-575-4025 · Fax 850-580-0983
Mailing address
1433 Nissley RdTallahassee, FL 32310-3656
Phone 334-447-1483
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