Individual
MANDY CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 WAMPANOAG TRL, RIVERSIDE, RI 02915-2232
(401) 649-4020
Mailing address
110 ELM ST FL 3, PROVIDENCE, RI 02903-4626
(401) 649-4020
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
10/10/2021
Last updated
10/23/2021
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