Individual
CHRISTINE CATHERINE CARDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
173 MAIN ST, BLACKSTONE, MA 01504-2232
(508) 883-8250
Mailing address
173 MAIN ST, BLACKSTONE, MA 01504-2232
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02314
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ISW02314
LICSW
RI
Enumeration date
09/26/2018
Last updated
09/26/2018
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