Individual
KATHLEEN FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
55 HOPE ST, FAMILY SERVICE OF RHODE ISLAND, PROVIDENCE, RI 02906-2001
(401) 331-1350
(401) 277-3366
Mailing address
286 PARK PL, WOONSOCKET, RI 02895-4426
(401) 331-1350
(401) 277-3366
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01467
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021740
GROUP NHP NUMBER
—
01
—
410063
BLUE CHIP
—
01
—
9638-4
BLUE CROSS BLUE SHIELD
—
05
—
KF29870
—
RI
Enumeration date
12/27/2006
Last updated
07/08/2007
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