Brandon Ronald Thibeault, LICSW, LCSW
NPI #1053947028 in Newport, Rhode Island
Provider Information
- NPI Number
- 1053947028
- Entity Type
- Individual
- Name
- Brandon Ronald Thibeault, LICSW, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW, LCSW
- Enumeration Date
- Mar 21, 2020
- Last Updated
- Nov 27, 2023
Practice Location
- Address
- 20 RUSSELL AVE
- City
- Newport
- State
- Rhode Island
- ZIP Code
- 02840-1724
- Phone
- (207) 318-9630
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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