| Doctor Name: | MRS. LORETTA GAIL BRAUDAWAY |
| NPI Number: | 1053466896 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | 2390 |
| Business Practice Address: | 1533 Salter St Natchitoches, LA - 714575231 |
| Business Phone Number: | 3183573122 |
| Business Fax Number: | 3183573240 |
| Mailing Address: | 1533 Salter St, NATCHITOCHES |
| State: | LA |
| Postal Code: | 714575231 |
| Phone Number: | 3183573122 |
| Fax Number: | 3183573240 |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2390 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |