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Individual

MS. NORMA LYNNE WELITOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW,LICSW

Contact information

Practice address
1130 TEN ROD RD, SUITE E 206B, NORTH KINGSTOWN, RI 02852-4161
(401) 378-7878
(401) 294-3030
Mailing address
32 GRANDEVILLE CT APT 1037, WAKEFIELD, RI 02879-8213
(401) 378-7878
(401) 294-3030

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1031133
MA
1041C0700X
Clinical Social Worker
Primary
ISW01253
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1032500
NEIGHBORHOOD HEALTH PLAN
RI
01
20904-5
BLUE CROSS BLUE SHIELD
RI
01
345085
TRICARE
RI
05
NW48009
RI
Enumeration date
12/20/2006
Last updated
07/09/2007
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