Individual
KIARA INES TAVERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
111 WAYLAND AVE, PROVIDENCE, RI 02906-4371
(401) 396-7649
(401) 208-2482
Mailing address
111 WAYLAND AVE, PROVIDENCE, RI 02906-4371
(401) 396-7649
(401) 208-2482
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW04353
RI
Other
Enumeration date
07/12/2023
Last updated
02/12/2025
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