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Organization
IVY MARWIL
Active
Organization
IVY MARWIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVY MARWIL MSW (CLINIAL SOCIAL WORKER)
(401) 351-5730
Entity
Organization
Contact information
Practice address
293 GOVERNOR ST, PROVIDENCE, RI 02906-3220
(401) 351-5730
(401) 331-6260
Mailing address
293 GOVERNOR ST, PROVIDENCE, RI 02906-3220
(401) 351-5730
(401) 331-6260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00642
RI
Other
Enumeration date
12/23/2010
Last updated
12/23/2010
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