Individual
JONATHAN ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(917) 572-5404
Mailing address
12 SARGENT AVE, PROVIDENCE, RI 02906-3416
(917) 572-5404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW02344
RI
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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