NICOLE JELLINEK

PROVIDENCE, RI
NPI1093909806
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: RI  ISW01854)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: MA  111850)
Enumeration Date2007-09-05
Last Update Date2007-09-05
Business Address
-- NICOLE JELLINEK LICSW
229 WATERMAN AVE
PROVIDENCE, RI 02911-1043
Phone number: 401-289-0884
Mailing Address
-- NICOLE JELLINEK LICSW
229 WATERMAN AVE
PROVIDENCE, RI 02911-1043
Phone number: 401-289-0884