Individual
MARY E PREVITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1130 TEN ROD RD, SUITE E305, NORTH KINGSTOWN, RI 02852-4161
(401) 294-0451
(401) 294-0461
Mailing address
50 AVICE ST, NARRAGANSETT, RI 02882-3521
(401) 789-0237
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW 01813
RI
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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