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Individual

LOGAN SERABIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
1635 MINERAL SPRING AVE STE 206, NORTH PROVIDENCE, RI 02904-4025
(401) 787-1451
Mailing address
10 JACKSON ST, NORTH PROVIDENCE, RI 02904-4200
(401) 787-1451

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW04132
RI

Other

Enumeration date
04/13/2022
Last updated
11/09/2025
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