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 |