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Individual

WALTER O. ORELLANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
530 NORTH MAIN ST., PROVIDENCE, RI 02906-2532
(401) 276-4020
Mailing address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 276-4020

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02248
RI

Other

Enumeration date
04/27/2010
Last updated
09/19/2012
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