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Individual

MEGAN MACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
593 EDDY STREET, ALDRICH BLDG 3RD FLOOR DEPT OF CLINICAL SOCIAL WORK, PROVIDENCE, RI 02303
(401) 444-3805
Mailing address
32 FARNUM AVE, NORTH PROVIDENCE, RI 02911-3310

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02509
RI

Other

Enumeration date
10/05/2023
Last updated
10/05/2023
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