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Individual

KELLY BARAF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
49 PAVILION AVE, SUITE 105, PROVIDENCE, RI 02905-1534
(401) 490-8900
(401) 490-2619
Mailing address
4 LAFAYETTE ST, PAWTUCKET, RI 02860-6122
(401) 536-5339

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01936
RI

Other

Enumeration date
11/17/2008
Last updated
09/03/2013
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