Individual
MRS. BRENDA M NAGLE-PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
21 BALL ST, WORCESTER, MA 01603-3116
(508) 756-4646
(508) 791-4755
Mailing address
21 BALL ST, WORCESTER, MA 01603-3116
(508) 769-2117
(508) 791-4755
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
214255
MA
101YM0800X
Mental Health Counselor
214255
MA
1041C0700X
Clinical Social Worker
Primary
120511
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1030980
FALLON
MA
Enumeration date
04/17/2007
Last updated
12/30/2021
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