Individual
OCTAVIA SHANICE HINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 RICHMOND SQ STE 300E, PROVIDENCE, RI 02906-5160
(401) 349-3131
(401) 921-5109
Mailing address
2764 OLD HIGHWAY 64 APT 3, CRAWFORDSVILLE, AR 72327-2001
(870) 514-4922
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW03377
RI
Other
Enumeration date
12/24/2013
Last updated
06/19/2025
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