Individual
BRYNA D HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 WALNUT ST STE 200, WATERTOWN, MA 02472-4054
(888) 897-1887
(703) 321-2603
Mailing address
101 WALNUT ST STE 200, WATERTOWN, MA 02472-4054
(888) 897-1887
(703) 321-2603
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
09040009489
VA
1041C0700X
Clinical Social Worker
Primary
LICSW122661
MA
Other
Enumeration date
07/12/2016
Last updated
09/19/2024
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