Individual
DR. JAYASHREE NIMMAGADDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, PH.D, LICSW
Contact information
Practice address
25 THURBER BLVD, SMITHFIELD, RI 02917-1816
(401) 233-1634
Mailing address
11 JOHN F KENNEDY CIR, NORTH PROVIDENCE, RI 02904-5315
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01647
RI
Other
Enumeration date
03/30/2021
Last updated
04/12/2021
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