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Organization

COLLABORATIVE FOR BEHAVIORAL HEALTH

Active
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Organization

COLLABORATIVE FOR BEHAVIORAL HEALTH

Active
Other names
DENISE M FRAGOZA LICSW,LCDP,CCJP
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DENISE MARIE FRAGOZA MSW,LICSW,LCDP (CLINCAL DIRECTOR)
(401) 245-5395
Entity
Organization

Contact information

Practice address
654 METACOM AVE, WARREN, RI 02885-2300
(401) 245-5395
(401) 245-5395
Mailing address
34 2ND ST, SWANSEA, MA 02777-3203
(508) 324-5282
(401) 245-5395

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP00146
RI
1041C0700X
Clinical Social Worker
Primary
ISW00719
RI

Other

Enumeration date
07/17/2006
Last updated
07/09/2008
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