Individual
COLLEEN MARY DUSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1992 OLD LOUISQUISSET PIKE, LINCOLN, RI 02865-4590
(401) 475-0653
(401) 475-0729
Mailing address
116 WAVERLY RD, LUDLOW, MA 01056-1618
(413) 588-1560
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW03504
RI
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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