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Glenna Bragg, LCSW

Social Worker, Clinical in Terre Haute, IN. Individual provider (NPI-1).

NPI number1902169352
StatusActive
Last updated in NPPESJun 20, 2012

Details

NPI
1902169352
Entity type
Individual (NPI-1)
Name
Glenna Bragg
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Jun 20, 2012
Last updated
Jun 20, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical34006514AINYes

Practice location

500 8th Ave
Terre Haute, IN 47804-4072

Phone 812-231-8376 · Fax 812-231-8208

Mailing address

620 8th Ave
Terre Haute, IN 47804-2744

Phone 812-231-8323 · Fax 812-231-8400

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