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NPI Code Detail

MEDICARE: REBECCA BRISSON

MEDICARE:   REBECCA  BRISSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1336678994
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA BRISSON
Provider Business Mailing Address
First Line : 14 E HAWLEY RD
Second Line :
City : CHARLEMONT
State : MA
Zip : 01339-9804
Country : US
Telephone Number : 413-522-3898
Fax Number :
Provider Business Practice Location Address
First Line : 877 SOUTH ST STE 200
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-8243
Country : US
Telephone Number : 413-236-5656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2017
Last Update Date : 06/07/2017

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Directions to “ REBECCA BRISSON ” Practice Location

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