MADRONE BAYAN PHOENIX

PROVIDENCE, RI
NPI1548779366
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: RI  CSW02055)
Enumeration Date2017-09-25
Last Update Date2022-10-13
Business Address
MADRONE BAYAN PHOENIX LICSW
1 RICHMOND SQ STE 333C
PROVIDENCE, RI 02906-5139
Phone number: 401-441-5834
Mailing Address
MADRONE BAYAN PHOENIX LICSW
PO BOX 5
KINGSTON, RI 02881-0005
Phone number: 401-441-5834