Doctor Name: | MRS. KAREN WALLACE-BRAUN |
NPI Number: | 1467680553 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSW |
License Number: | SW124812 |
Business Practice Address: | 100 Ridge Rd Suite 21 Chadds Ford, PA - 193179784 |
Business Phone Number: | 2158500051 |
Business Fax Number: | |
Mailing Address: | 903 Weathering Ln, CHADDS FORD |
State: | PA |
Postal Code: | 193178932 |
Phone Number: | 2158500051 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2009 |
NPI Last Update Date: | 05/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW124812 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |