Individual
MISS MOLLY LEIGH DIETZLER O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1045 WARWICK AVE, SUITE 101, WARWICK, RI 02888-3665
(401) 406-1205
(401) 270-0660
Mailing address
1045 WARWICK AVE, SUITE 101, WARWICK, RI 02888-3665
(401) 406-1205
(401) 270-0660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02668
RI
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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