Individual
GWYNNE LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
MSW
Contact information
Practice address
1 RICHMOND SQ STE 103K, PROVIDENCE, RI 02906-5166
(401) 728-1800
Mailing address
8 E TRANSIT ST APT 3, PROVIDENCE, RI 02906-3088
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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