Individual
JENNIFER EBERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
344 WASHINGTON ST, PROVIDENCE, RI 02903
(401) 383-7558
Mailing address
286 WOOD ST APT 1, BRISTOL, RI 02809-3232
(716) 640-7233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02754
RI
Other
Enumeration date
08/10/2017
Last updated
05/24/2018
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