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Organization
ELAINE MARTIN, LICSW, LLC
Active
Organization
ELAINE MARTIN, LICSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE LOUISE MARTIN LICSW (SOLE MEMBER)
(401) 354-9372
Entity
Organization
Contact information
Practice address
120 WAYLAND AVE, SUITE 1, PROVIDENCE, RI 02906-4318
(401) 354-9372
(401) 709-3776
Mailing address
39 TOWNSEND ST, BARRINGTON, RI 02806-1417
(401) 354-9372
(401) 709-3776
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000638ISW
RI
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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