Individual
OPHELIA WILLOW RAVENIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 SCHOOL ST, TAUNTON, MA 02780-3222
(774) 568-8856
(508) 219-6941
Mailing address
441 SMITHFIELD AVE APT 3, PAWTUCKET, RI 02860-2551
(401) 378-5841
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW04114
RI
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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