# GERIATRIC CLINICAL SERVICES INC

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

## Provider details

- **NPI number:** 1982297479
- **Authorized official:** MARTA ROSOL LICSW (OWNER)
- **Authorized official phone:** (401) 316-4425

## Contact information

- **Practice address:** 110 SLATER PARK AVE, PAWTUCKET, RI 02861-3214
- **Practice address phone:** (401) 316-4425
- **Practice address fax:** (401) 722-2363
- **Mailing address:** 110 SLATER PARK AVE, PAWTUCKET, RI 02861-3214
- **Mailing address phone:** (401) 316-4425
- **Mailing address fax:** (401) 722-2363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 02/16/2021
- **Last updated:** 02/16/2021