Individual
ANNETTE D SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
55 HOPE ST, PROVIDENCE, RI 02906-2001
(401) 331-1350
(401) 277-3366
Mailing address
134 THURBERS AVE, PROVIDENCE, RI 02905-4754
(401) 331-1350
(401) 277-3366
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
ISW02317
RI
Other
Enumeration date
01/25/2007
Last updated
04/10/2015
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