Individual
CARRIS M. LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02384
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
491887
MHN
RI
05
—
CT85769
—
RI
Enumeration date
07/29/2011
Last updated
06/01/2023
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