Individual
CHEYENNE L LEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
25 W INDEPENDENCE WAY # 1127, KINGSTON, RI 02881-1126
(401) 789-4614
Mailing address
98 MERRITT AVE, TIVERTON, RI 02878-1622
(401) 440-4606
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW02527
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW02527
RI DEPARTMENT OF HEALTH
RI
Enumeration date
05/11/2021
Last updated
05/11/2021
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