Individual
BRIANNA LYNN FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
200 MAIN STREET, SUITE 210, PAWTUCKET, RI 02860
(401) 728-1800
(401) 728-0182
Mailing address
200 MAIN ST STE 210, PAWTUCKET, RI 02860-4119
(401) 728-1800
(401) 728-0182
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW02054
RI
Other
Enumeration date
09/18/2017
Last updated
07/21/2022
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