KRYSTAL AWILDA FERMIN

PROVIDENCE, RI
NPI1821714569
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: RI  CSW02805)
Enumeration Date2022-10-14
Last Update Date2022-10-14
Business Address
KRYSTAL AWILDA FERMIN LCSW
22 MILO ST
PROVIDENCE, RI 02909-5950
Phone number: 401-654-7197
Mailing Address
KRYSTAL AWILDA FERMIN LCSW
22 MILO ST
PROVIDENCE, RI 02909-5950
Phone number: 401-654-7197