Individual
MATTHEW SOULE RICCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2894
(401) 793-3235
Mailing address
130 SAND PLAIN RD, CHARLESTOWN, RI 02813-3839
(781) 640-0819
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW03536
RI
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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