SUSAN VAN LEAVEN

CRANSTON, RI
NPI1912945015
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: RI  ISW00522)
Enumeration Date2006-06-02
Last Update Date2010-03-29
Business Address
SUSAN VAN LEAVEN LICSW
1255 OAKLAWN AVE SUITE # 2
CRANSTON, RI 02920-2649
Phone number: 401-228-7914
Mailing Address
SUSAN VAN LEAVEN LICSW
1255 OAKLAWN AVE SUITE # 2
CRANSTON, RI 02920-2649
Phone number: 401-228-7914