Individual
MS. ANN FUNICELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
54 WOOD COVE DR, COVENTRY, RI 02816-6606
(401) 822-0274
Mailing address
54 WOOD COVE DR, COVENTRY, RI 02816-6606
(401) 822-0274
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW0063
RI
1041S0200X
School Social Worker
054450
RI
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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