Individual
MR. ALBERT D IANNOTTI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
203 CONCORD ST, SUITE 335, PAWTUCKET, RI 02860-3477
(401) 243-7456
(401) 365-6860
Mailing address
203 CONCORD ST, SUITE 335, PAWTUCKET, RI 02860-3477
(401) 243-7456
(401) 365-6860
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW01339
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW01339
SOCIAL WORK LICENSE NUMBER
RI
Enumeration date
09/14/2012
Last updated
09/14/2012
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