Individual
HOLLY BATURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1516 HARTFORD AVENUE, JOHNSTON, RI 02919
(401) 724-8400
(401) 722-5039
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 722-5039
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
ISW02274
RI
1041C0700X
Clinical Social Worker
Primary
ISW02274
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
08/05/2009
Last updated
11/04/2024
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