Individual
JOELLE ANNE THERESE DEPEYROT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
205 WATERMAN ST STE 100, PROVIDENCE, RI 02906-4313
(401) 753-4816
Mailing address
205 WATERMAN ST STE 100, PROVIDENCE, RI 02906-4313
(401) 753-4816
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
116672
MA
1041C0700X
Clinical Social Worker
Primary
ISW02206
RI
1041C0700X
Clinical Social Worker
LCS23881
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12334182
CAQH
—
Enumeration date
03/12/2007
Last updated
09/05/2019
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