Individual
MS. RENEE BROCHESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
100 LAFAYETTE ST STE 305, PAWTUCKET, RI 02860-6008
(401) 351-5633
(401) 331-9750
Mailing address
100 LAFAYETTE ST STE 305, PAWTUCKET, RI 02860-6008
(401) 351-5633
(401) 331-9750
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
107637
MA
1041C0700X
Clinical Social Worker
9679
CA
1041C0700X
Clinical Social Worker
Primary
ISW00817
RI
Other
Enumeration date
02/17/2007
Last updated
11/23/2020
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