Individual
BREANNA NICOLE RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
400 W MAIN ST STE 111, BABYLON, NY 11702-3009
(631) 805-5668
Mailing address
17 JOHNSON CT, BABYLON, NY 11702-2409
(917) 652-2917
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
124590
NY
104100000X
Social Worker
44SL07144500
NJ
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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