Braxton, Kim Lynette

Braxton, Kim Lynette is an individual health care provider with primary practice located at 3102 E. Highland Avenue Medical Staff Office, Patton CA 92369. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Braxton, Kim Lynette can be contacted via phone (909) 425-7000.

Contact Information

Primary practice address
3102 E. Highland Avenue Medical Staff Office Patton CA 92369
Phone: (909) 425-7000
Fax: (909) 620-9793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 23535 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1699809707
LBN Legal business name Braxton, Kim Lynette
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 21st, 2022 - about 2 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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