Provider Demographics
NPI:1437825254
Name:MARJORIE W. BRIAND, LICSW, PLLC
Entity Type:Organization
Organization Name:MARJORIE W. BRIAND, LICSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARJORIE
Authorized Official - Middle Name:W
Authorized Official - Last Name:BRIAND
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:603-742-0950
Mailing Address - Street 1:PO BOX 1204
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03821-1204
Mailing Address - Country:US
Mailing Address - Phone:603-742-0950
Mailing Address - Fax:
Practice Address - Street 1:331 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-3630
Practice Address - Country:US
Practice Address - Phone:603-742-0950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty