Individual
DESIREE SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW02547
Contact information
Practice address
66 BURNETT ST, PROVIDENCE, RI 02907-2527
(401) 785-0050
(401) 941-0089
Mailing address
11 VIREO ST, NORTH PROVIDENCE, RI 02904-4723
(401) 699-9689
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1659AD
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP00552
RI
1041C0700X
Clinical Social Worker
Primary
CSW02547
RI
Other
Enumeration date
12/04/2016
Last updated
03/07/2022
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