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Individual

MS. MI OK SONG BRUINING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
825 CENTERVILLE RD, WARWICK, RI 02886-4342
(401) 347-8462
Mailing address
825 CENTERVILLE RD, WARWICK, RI 02886-4342
(508) 347-8462

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
121675
MA
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
09/26/2008
Last updated
10/24/2024
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