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NPI Code Detail

MEDICARE: CARLEY PAIGE BRASCHLER LMSW

MEDICARE: CARLEY PAIGE BRASCHLER LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker13880KS

General Provider Information

NPI Number : 1790519874
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLEY PAIGE BRASCHLER LMSW
Provider Business Mailing Address
First Line : 808 S LOCUST ST
Second Line :
City : PITTSBURG
State : KS
Zip : 66762-5428
Country : US
Telephone Number : 620-515-1702
Fax Number :
Provider Business Practice Location Address
First Line : 710 N BROADWAY ST
Second Line :
City : PITTSBURG
State : KS
Zip : 66762-3922
Country : US
Telephone Number : 620-232-3228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2024
Last Update Date : 08/29/2024

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Directions to “ CARLEY PAIGE BRASCHLER LMSW” Practice Location

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