Individual
MS. DIANE ELIZABETH PASSANTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
55 DOVER AVE, EAST PROVIDENCE, RI 02914-1801
(401) 248-5823
(401) 406-2701
Mailing address
55 DOVER AVE, EAST PROVIDENCE, RI 02914
(401) 248-5823
(401) 406-2701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISWO1755
RI
Other
Enumeration date
04/16/2007
Last updated
04/30/2016
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