Individual
CERENA REID-MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6226
(401) 455-6604
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 273-0641
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02595
RI
Other
Enumeration date
06/10/2013
Last updated
02/17/2023
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