Individual
REBECCA KATHLEEN SOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
870 WATERMAN AVE, EAST PROVIDENCE, RI 02914-1317
(401) 475-9979
Mailing address
652 GEORGE WASHINGTON HWY, SUITE 102, LINCOLN, RI 02865-4267
(401) 475-9979
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02006
RI
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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