Individual
MS. MARY JANE PIZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, LCDP
Contact information
Practice address
2 DUDLEY ST STE 375MOC, PROVIDENCE, RI 02905-3236
(401) 606-8530
(401) 606-8549
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP00331
RI
1041C0700X
Clinical Social Worker
Primary
ISW01284
RI
Other
Enumeration date
04/07/2006
Last updated
11/13/2023
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