Individual
MR. LUIS ALBERTO COLON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904-5113
(401) 456-3000
Mailing address
569 SMITHFIELD RD, UNIT 11, NORTH PROVIDENCE, RI 02904-3881
(941) 932-5733
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW01724
RI
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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