THOMAS MACK

PROVIDENCE, RI
NPI1508129362
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: RI  CSW01571)
Enumeration Date2012-06-18
Last Update Date2014-03-21
Business Address
-- THOMAS MACK LCSW
528 N MAIN ST
PROVIDENCE, RI 02904-5757
Phone number: 401-383-5811
Mailing Address
-- THOMAS MACK LCSW
528 N MAIN ST
PROVIDENCE, RI 02904-5757
Phone number: