Individual
ALYSSA ROSE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 432-7523
Mailing address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 432-7523
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
CSW02458
RI
104100000X
Social Worker
—
RI
1041C0700X
Clinical Social Worker
Primary
ISW03928
RI
Other
Enumeration date
07/13/2020
Last updated
06/11/2024
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