Individual
BRONWEN A WIRTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
115 MILL ST, BELMONT, MA 02478-1064
(617) 855-2893
Mailing address
115 MILL ST, BELMONT, MA 02478-1064
(617) 855-2893
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114407
MA
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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