Individual
MARCIA LOIS ROUSLIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
654 METACOM AVE, SUITE #6, WARREN, RI 02885-2300
(401) 245-0375
(401) 245-0375
Mailing address
5 HERITAGE RD, BARRINGTON, RI 02806-2710
(401) 245-1042
(401) 245-1431
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW 00189
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3778-9
BLUE CROSS BLUE SHIELD
RI
Enumeration date
05/18/2006
Last updated
07/09/2007
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