Individual
GISSELL Y. MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 274-2500
Mailing address
15 PALM ST, NORTH PROVIDENCE, RI 02904-4622
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW01967
RI
Other
Enumeration date
07/12/2016
Last updated
06/19/2017
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