Individual
MS. BRIANNA NIKOLE WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
982 E MAIN ST, BRIDGEPORT, CT 06608-1913
(203) 696-3260
Mailing address
38 HULLS HILL RD, SOUTHBURY, CT 06488-2741
(203) 812-9058
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14408
CT
Other
Enumeration date
05/23/2023
Last updated
09/04/2024
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