Individual
MRS. JENNIFER BONNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
25 W INDEPENDENCE WAY STE G, KINGSTON, RI 02881-1127
(401) 789-4614
(401) 789-1957
Mailing address
25 W INDEPENDENCE WAY STE G, KINGSTON, RI 02881-1127
(401) 789-4614
(401) 789-1957
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02573
RI
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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