Individual
DEBORAH M MEISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
21 PEACE ST, PROVIDENCE, RI 02907-1510
(401) 456-4174
Mailing address
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904-5113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01405
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ISW01405
LICENSE
RI
Enumeration date
01/16/2007
Last updated
07/08/2007
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