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Individual

MRS. CATHERINE C NEVILLE I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
58 EUSTIS AVE, NEWPORT, RI 02840
(919) 414-7042
Mailing address
58 EUSTIS AVE, NEWPORT, RI 02840-2338
(919) 414-7042

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02789
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6003751
NC
05
6106140
NC
Enumeration date
10/13/2006
Last updated
06/26/2018
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