Individual
GISSELLE ALEJANDRA BAEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5099
(401) 432-1345
Mailing address
47 CONCANNON ST APT 2, PROVIDENCE, RI 02904-2127
(401) 432-8852
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW03011
RI
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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