Individual
BRIAN BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1085 N MAIN ST, PROVIDENCE, RI 02904-5719
(401) 415-4556
Mailing address
1085 N MAIN ST, PROVIDENCE, RI 02904-5719
(401) 415-4556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02796
RI
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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