Individual
CHRISTA EDOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
19 VALLEY RD, MIDDLETOWN, RI 02842-6306
(401) 841-8896
(401) 848-4192
Mailing address
19 VALLEY RD, MIDDLETOWN, RI 02842-6306
(401) 841-8896
(401) 848-4192
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW00939
RI
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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