Individual
JESSIE JANELLE VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MAIN ST STE 210, PAWTUCKET, RI 02860-4119
(401) 728-1800
(401) 633-7119
Mailing address
200 MAIN ST, PAWTUCKET, RI 02860-4131
(401) 728-1800
(401) 633-7119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW04162
RI
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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