Individual
RATKANHNHA SIV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1070 MAIN ST, SUITE 201, PAWTUCKET, RI 02860-4974
(401) 721-5901
(401) 721-5902
Mailing address
1070 MAIN ST, SUITE 201, PAWTUCKET, RI 02860-4974
(401) 721-5901
(401) 721-5902
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHR012312
—
RI
05
—
GH56945
—
RI
Enumeration date
08/06/2008
Last updated
05/16/2012
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