Braxley, Jane Butler

Braxley, Jane Butler is an individual health care provider with primary practice located at 175 Emery Hwy , Macon GA 31217-3692. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Braxley, Jane Butler can be contacted via phone (478) 751-4446.

Contact Information

Primary practice address
175 Emery Hwy Macon GA 31217-3692
Phone: (478) 751-4446
Fax: (478) 751-4444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW000457 Georgia

Profile Details

NPI number 1134328826
LBN Legal business name Braxley, Jane Butler
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2007
Last updated Jul 13th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134328826 NPPES
Georgia Other CSW000457 LCSW

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