Individual
KERRIN LYNNE CHARPENTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
480 METACOM AVE, BRISTOL, RI 02809-5119
(401) 253-8000
Mailing address
51 LINDESTA RD, PAWTUCKET, RI 02861-2556
(401) 475-3498
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02005
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
385597
TRI-CARE MHN
RI
05
—
KC62336
—
RI
Enumeration date
05/01/2007
Last updated
10/06/2009
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