Individual
BRENDA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
193 CANAL ST, WESTERLY, RI 02891-1556
(401) 500-5458
(401) 596-2496
Mailing address
193 CANAL ST, WESTERLY, RI 02891-1556
(401) 500-5458
(401) 596-2496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02428
RI
Other
Enumeration date
05/13/2014
Last updated
06/26/2015
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