Individual
MARY ANN CANNING MCCOMISKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
101 HIGGINSON AVE, 107D, LINCOLN, RI 02865-2733
(401) 369-0378
Mailing address
985 GREAT RD, LINCOLN, RI 02865-3844
(401) 369-0378
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00583
RI
Other
Enumeration date
11/25/2012
Last updated
10/02/2013
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