Individual
LISA S CARVALHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
400 DAGGETT AVE, PAWTUCKET, RI 02861-2242
(401) 497-5261
Mailing address
400 DAGGETT AVE, PAWTUCKET, RI 02861-2242
(401) 497-5261
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
216083
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1312677
—
MA
01
—
685661
TUFTS
MA
01
—
M18708
BLUE CROSS
MA
Enumeration date
05/01/2007
Last updated
01/20/2010
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