DR. Mark Jeffery Brenner, PH.D., LICSW
NPI #1386797355 in Canton, Massachusetts
Provider Information
- NPI Number
- 1386797355
- Entity Type
- Individual
- Name
- DR. Mark Jeffery Brenner, PH.D., LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- PH.D., LICSW
- Enumeration Date
- Jan 20, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1 NATHANIEL WAY
- City
- Canton
- State
- Massachusetts
- ZIP Code
- 02021-3852
- Phone
- (781) 821-0708
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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