Individual
MRS. IVY GALE MARWIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
293 GOVERNOR ST, PROVIDENCE, RI 02906-3220
(401) 351-5730
(401) 331-6260
Mailing address
293 GOVERNOR ST, PROVIDENCE, RI 02906-3220
(401) 351-5730
(401) 331-6260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00642
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
758586
TUFTS
MA
01
—
9400-9
BLUE CROSS
RI
Enumeration date
07/27/2006
Last updated
07/08/2007
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