Individual
MARK S O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.I.C.S.W.
Contact information
Practice address
70 OAK ST, APT C, PROVIDENCE, RI 02909-1932
(401) 237-2203
Mailing address
70 OAK ST, APT C, PROVIDENCE, RI 02909-1932
(401) 237-2203
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02402
RI
Other
Enumeration date
06/03/2015
Last updated
07/08/2021
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