| NPI | 1013746049 |
|---|---|
| Other Name | JOSEPH REARDON LICSW |
| Entity Type | Organization |
| Authorized Contact | JOSEPH REARDON Owner 401-632-8163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |