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Individual

MRS. AMY MULLERVY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISCW

Contact information

Practice address
390 TOLL GATE RD, STE. K 104, WARWICK, RI 02886-4326
(401) 739-4969
(401) 739-5158
Mailing address
390 TOLL GATE RD, STE. K 104, WARWICK, RI 02886-4326
(401) 739-4969
(401) 739-5158

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW00340
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1070770
BEACON HEALTH STRATEGIES
RI
01
3229-8
BLUE CROSS
RI
05
AM52558
RI
Enumeration date
05/14/2007
Last updated
07/08/2007
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