Individual
BREANA NICOLE SWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
576 STATE ST, SPRINGFIELD, MA 01109-4104
(413) 733-0481
(413) 733-1315
Mailing address
2 THE HAMLET APT G, ENFIELD, CT 06082-7003
(617) 449-8018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
224576
MA
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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