Individual
JESSICA REIS-DRISCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
10 ELMGROVE AVE UNIT 1, PROVIDENCE, RI 02906-4124
(401) 271-3689
Mailing address
873 WARWICK AVE FL 2, WARWICK, RI 02888-3645
(401) 271-3689
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
ISW01844
RI
1041C0700X
Clinical Social Worker
Primary
ISW01844
RI
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/27/2015
Last updated
11/17/2021
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