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Individual

MARY BETH TAVARES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
B6 BRISTOL WOODS DR, BRISTOL, RI 02809-2746
(401) 573-8168
Mailing address
B6 BRISTOL WOODS DR, BRISTOL, RI 02809-2746
(401) 573-8168

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
119357
MA

Other

Enumeration date
02/16/2018
Last updated
02/16/2018
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