Individual
MRS. KIMBERLY ANN GYRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
681 RESERVOIR AVE, CRANSTON, RI 02910-3220
(401) 943-7186
(401) 944-0184
Mailing address
16 PEVERIL RD, CRANSTON, RI 02921-2422
(401) 497-0587
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01550
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27087-9
BLUE CROSS BLUE SHIELD
RI
01
—
410991
BLUE CHIP
RI
Enumeration date
08/29/2006
Last updated
02/07/2022
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