Individual
KRISTIN WEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2 DUDLEY ST, PROVIDENCE, RI 02905-3236
(401) 274-1100
Mailing address
2 DUDLEY ST, PROVIDENCE, RI 02905-3236
(401) 274-1100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW01664
RI
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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