Individual
JOSEPH CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1157 SOUTH RD, WAKEFIELD, RI 02879-7633
(401) 364-7705
(401) 783-2558
Mailing address
1157 SOUTH RD, WAKEFIELD, RI 02879-7633
(401) 364-7705
(401) 783-2558
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01635
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JC55484
—
RI
Enumeration date
12/15/2006
Last updated
07/08/2007
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