# IVY MARWIL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740584341
- **Authorized official:** IVY MARWIL MSW (CLINIAL SOCIAL WORKER)
- **Authorized official phone:** (401) 351-5730

## Contact information

- **Practice address:** 293 GOVERNOR ST, PROVIDENCE, RI 02906-3220
- **Practice address phone:** (401) 351-5730
- **Practice address fax:** (401) 331-6260
- **Mailing address:** 293 GOVERNOR ST, PROVIDENCE, RI 02906-3220
- **Mailing address phone:** (401) 351-5730
- **Mailing address fax:** (401) 331-6260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | ISW00642 | RI | Yes |

## Other

- **Enumeration date:** 12/23/2010
- **Last updated:** 12/23/2010