Individual
BRIANNA NICOLE GONSALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 REDFIELD ST STE 300, DORCHESTER, MA 02122-3653
(857) 208-0990
Mailing address
50 REDFIELD ST STE 300, DORCHESTER, MA 02122-3653
(857) 208-0990
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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