Organization
UNDIVIDUAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEEN ANN WALSH MA, MSW, LMHC (PRESIDENT)
(401) 578-8775
Entity
Organization
Contact information
Practice address
144 WATERMAN ST STE 1, PROVIDENCE, RI 02906-2126
(401) 578-8775
(401) 533-9532
Mailing address
1 RICHMOND SQ, SUITE 103K, PROVIDENCE, RI 02906-5139
(401) 274-8472
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
00116
RI
Other
Enumeration date
02/12/2008
Last updated
02/11/2022
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