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Individual

MS. CHRISTINE ANN HOLMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-4807
Mailing address
1525 OLD LOUISQUISSET PIKE STE 204, LINCOLN, RI 02865-4503
(401) 487-3270

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00695
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05-0385696
CIGNA
RI
01
1021010
BEACON
RI
01
30236-6
BLUE CROSS BLUE SHIELD
RI
01
409424
BLUE CHIP
RI
01
62-42562
UNITED HEALTH CARE
RI
05
CA 03662
RI
Enumeration date
03/28/2007
Last updated
05/09/2018
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