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Individual

ANITA MINKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSW

Contact information

Practice address
750 EAST AVE, PAWTUCKET, RI 02860-6165
(401) 457-5252
(401) 316-0439
Mailing address
750 EAST AVE, PAWTUCKET, RI 02860-6165
(401) 457-5252
(401) 316-0439

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
110026
MA
1041C0700X
Clinical Social Worker
Primary
1SW01289
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
308612
BLUE CROSS BLUE SHIELD
RI
01
411510
BLUE CHIP
RI
Enumeration date
01/22/2007
Last updated
08/24/2020
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