Individual
MS. MARION LYNN WACHTENHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
172 E CUSHING ST, PROVIDENCE, RI 02906-2255
(401) 273-4840
Mailing address
38 PARIS ST, PAWTUCKET, RI 02860-6129
(401) 475-0785
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00678
RI
Other
Enumeration date
04/08/2007
Last updated
07/10/2010
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