| NPI | 1164613154 |
|---|---|
| Doing Business As | GINA BREGGIA-PINE, LICSW |
| Entity Type | Organization |
| Authorized Contact | GINA M PINE Clinical Social Worker 401-944-2270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2024-10-17 |