JILL MINISSA MACCORMACK

NORTH PROVIDENCE, RI
NPI1790086387
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2010-11-12
Last Update Date2015-08-27
Business Address
-- JILL MINISSA MACCORMACK LICSW
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904-5113
Phone number: 401-456-3000
Mailing Address
-- JILL MINISSA MACCORMACK LICSW
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904-5113
Phone number: 401-456-3000