Individual
MRS. ROBERTA L TVENSTRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
170 FAIRVIEW AVE, COVENTRY, RI 02816-7504
(401) 486-7960
(401) 826-1858
Mailing address
21 AUDUBON LN, HOPE, RI 02831-1628
(401) 486-7960
(401) 826-1858
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01155
RI
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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