Individual
JOSHUA BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 MAIN ST, EXETER, RI 02822-3531
(401) 295-0960
Mailing address
251 MAIN ST, EXETER, RI 02822-3531
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
010027
CT
1041C0700X
Clinical Social Worker
Primary
ISW03209
RI
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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