| NPI | 1992952402 |
|---|---|
| Doing Business As | JILLIAN FENTON, LICSW |
| Entity Type | Organization |
| Authorized Contact | JILLIAN FENTON Clinical Social Worker 401-683-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI 01636) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |