MARY BETH DZIEDZIC

PROVIDENCE, RI
NPI1841579281
Former NameMARY BETH KING
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: RI  ISW02409)
Enumeration Date2011-08-16
Last Update Date2014-07-18
Business Address
-- MARY BETH DZIEDZIC LICSW
530 N MAIN ST
PROVIDENCE, RI 02904-5762
Phone number: 401-274-2500
Mailing Address
-- MARY BETH DZIEDZIC LICSW
31 JOHN CLARKE RD
MIDDLETOWN, RI 02842-5641
Phone number: