Individual
EMERSYN GOETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
132 OLD RIVER RD, SUITE 100, LINCOLN, RI 02865-1158
(781) 327-0827
Mailing address
55 HOPE ST, PROVIDENCE, RI 02906-2001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW03824
RI
Other
Enumeration date
09/09/2024
Last updated
10/30/2024
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