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Individual

ALICIA EAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1443 HARTFORD AVE, JOHNSTON, RI 02919-3224
(401) 556-1149
Mailing address
1 MARIA ST, LINCOLN, RI 02865-1400
(401) 556-1149

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW02654
RI
1041C0700X
Clinical Social Worker
Primary
ISW04312
RI
1041C0700X
Clinical Social Worker

Other

Enumeration date
06/07/2021
Last updated
01/28/2025
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