Individual
MS. LISA J DAPONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
270 ELMWOOD AVE, PROVIDENCE, RI 02907-1524
(401) 274-8811
(401) 274-8877
Mailing address
270 ELMWOOD AVE, PROVIDENCE, RI 02907-1524
(401) 274-8811
(401) 274-8877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
117685
MA
1041C0700X
Clinical Social Worker
Primary
ISW02399
RI
Other
Enumeration date
06/30/2011
Last updated
08/29/2023
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