Individual
BRIAN ROBERT JENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
140 PARK ST, ATTLEBORO, MA 02703-3064
(508) 222-7525
(508) 223-4145
Mailing address
69 RICHARDS AVE, NORTH ATTLEBORO, MA 02760-1609
(508) 695-4308
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1309161
—
MA
Enumeration date
03/19/2007
Last updated
07/08/2007
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