Individual
BRIANNA SOUTHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
450 PEARL ST, STOUGHTON, MA 02072-1610
(781) 344-0057
Mailing address
858 E 29TH ST, BROOKLYN, NY 11210-2927
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
253J00000X
Foster Care Agency
—
—
Other
Enumeration date
12/28/2018
Last updated
12/22/2023
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