Organization
GWEN KOLB, LICSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN KOLB LICSW (OWNER)
(617) 202-8688
Entity
Organization
Contact information
Practice address
275 WICKENDEN ST, PROVIDENCE, RI 02903-4480
(401) 321-4070
Mailing address
275 WICKENDEN ST, PROVIDENCE, RI 02903-4480
(401) 321-4070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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