Individual
BREANA RISKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
266 BROAD ST, SUITE A, MILFORD, CT 06460-3261
(203) 878-6198
Mailing address
266 BROAD ST, SUITE A, MILFORD, CT 06460-3261
(203) 878-6198
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
008098
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/10/2009
Last updated
11/04/2015
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