Individual provider · NPI-1

Christina Marie Bragan, MSW, LICSW

Social Worker, Clinical · Stoughton, MA

NPI number1790274496
StatusActive
Last updated in NPPESMay 8, 2018

Details

NPI
1790274496
Entity type
Individual (NPI-1)
Name
Mrs. Christina Marie Bragan
Credential
MSW, LICSW
Sex
Female
Sole proprietor
No
Enumeration date
May 8, 2018
Last updated
May 8, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical113472MAYes

Practice location

150 York St
Stoughton, MA 02072-1829

Phone 781-297-1189 · Fax 781-344-7684

Mailing address

83 N Grove St
Middleboro, MA 02346-1407

Phone 508-272-7920

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