Deborah Dee Brayton, LCSW-R
Social Worker, Clinical in Jamaica, NY. Individual provider (NPI-1).
NPI number1215541925
StatusActive
Last updated in NPPESSep 1, 2020
Details
- NPI
- 1215541925
- Entity type
- Individual (NPI-1)
- Name
- Ms. Deborah Dee Brayton
- Credential
- LCSW-R
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 1, 2020
- Certification date
- Sep 1, 2020
- Last updated
- Sep 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | R024103-1 | NY | Yes |
Practice location
11447 175th StJamaica, NY 11434-1325
Phone 917-375-9846
Mailing address
11447 175th StJamaica, NY 11434-1325
Phone 917-375-9846
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