Individual
MRS. KERRI-ANN SOARES VARELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
52 HUMPHREY ST, EAST PROVIDENCE, RI 02914-1115
(401) 617-9366
Mailing address
52 HUMPHREY STREET, EAST PROVIDENCE, RI 02914
(401) 617-9366
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02346
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053438705
UBH
RI
01
—
1104847946
THE PROVIDENCE CENTER NPI
RI
Enumeration date
03/26/2007
Last updated
06/29/2022
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