Individual
MR. LOUIS CHARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
520 HOPE ST, PROVIDENCE, RI 02906-2532
(401) 276-4000
Mailing address
528 N MAIN ST, PROVIDENCE, RI 02904-5757
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01341
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104847946
THE PROVIDENCE CENTER
RI
01
—
22895-2
BLUE CROSS
RI
01
—
407892
BLUE CHIP
RI
01
—
62-79600
UNITED BEHAVIORAL HEALTH
RI
05
—
LC32087
—
RI
Enumeration date
06/25/2006
Last updated
03/27/2009
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