Individual
MRS. BRYNA BAGAN BETTIGOLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
29 WILCOX AVE, PAWTUCKET, RI 02860-5736
(401) 723-0353
Mailing address
29 WILCOX AVE, PAWTUCKET, RI 02860-5736
(401) 723-0353
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00203
RI
Other
Enumeration date
04/22/2006
Last updated
07/08/2007
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