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Organization

COLLABORATIVE CARE NETWORK LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. FRAYNELIS Y ANDUJAR LICSW (CO-FOUNDER / CLINICIAN)
(401) 749-4821
Entity
Organization

Contact information

Practice address
2 RICHMOND SQ STE 204, PROVIDENCE, RI 02906-5135
(401) 206-0130
Mailing address
2 RICHMOND SQ STE 204, PROVIDENCE, RI 02906-5135
(401) 206-0130

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1041C0700X
Clinical Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1184005456
NPPES
MA
01
1548601347
NPPES
MA
01
1750072740
NPPES
RI
Enumeration date
06/19/2025
Last updated
06/19/2025
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