Individual
MR. JOHN D BOMFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
1516 ATWOOD AVE, JOHNSTON, RI 02919
(401) 553-1000
Mailing address
249 ROOSEVELT AVE, STE 205, PAWTUCKET, RI 02860
(401) 724-8400
(701) 365-1100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
RI
Other
Enumeration date
04/28/2006
Last updated
08/01/2007
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