Individual
EMILY JEAN BLEFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
14 RHODE ISLAND AVE, PROVIDENCE, RI 02906-5506
(401) 536-5575
Mailing address
14 RHODE ISLAND AVE, PROVIDENCE, RI 02906-5506
(401) 536-5575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01901
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EV63758
—
RI
Enumeration date
12/08/2006
Last updated
11/13/2018
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