Individual
CASSANDRA TIBBITS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 782-8000
Mailing address
14 WOODRUFF AVE, NARRAGANSETT, RI 02882-3476
(401) 595-0689
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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