Individual
VANNA PHROMMAVANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
530 NORTH MAIN STREET, THE PROVIDENCE CENTER, PROVIDENCE, RI 02904
(401) 274-2500
Mailing address
528 N MAIN ST, PROVIDENCE, RI 02904-5757
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
CSW02891
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023135795
UBH
RI
01
—
1104847946
THE PROVIDENCE CENTER NPI
RI
Enumeration date
03/26/2007
Last updated
05/04/2026
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