Individual
JEANNETTE MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
153 LEDGE ST, PROVIDENCE, RI 02904-1532
(401) 999-2809
Mailing address
PO BOX 27732, PROVIDENCE, RI 02907-0558
(401) 999-2809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW02815
RI
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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