Individual
MARITH MEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4970
(401) 444-6710
Mailing address
27 COTTONWOOD DR, CRANSTON, RI 02921-1050
(401) 499-8458
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02372
RI
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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