Individual
DIANE P TRECIOKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 WILSON RD, MIDDLETOWN, RI 02842-4636
(401) 847-2734
Mailing address
7 WILSON RD, MIDDLETOWN, RI 02842-4636
(401) 847-2734
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01702
RI
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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