Individual
PETER R FAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1 SWINBURNE ST, JAMESTOWN, RI 02835-1413
(401) 339-9659
Mailing address
1 SWINBURNE ST, JAMESTOWN, RI 02835-1413
(401) 227-7547
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1026211
MA
Other
Enumeration date
12/05/2020
Last updated
01/08/2021
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