Individual
ANNEKA WYNNE VANDERVEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
790 BROAD ST, PROVIDENCE, RI 02907-1646
(401) 449-6764
Mailing address
790 BROAD ST, PROVIDENCE, RI 02907-1646
(401) 449-6764
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW04669
RI
Other
Enumeration date
08/28/2023
Last updated
12/01/2025
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