Individual
MS. IVELISSE BERMUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 CLINTON ST, WOONSOCKET, RI 02895-3207
(401) 767-4100
(401) 235-6896
Mailing address
450 CLINTON ST, WOONSOCKET, RI 02895-3207
(401) 767-4100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW02089
RI
Other
Enumeration date
10/20/2017
Last updated
10/25/2017
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