Organization
NEW ENGLAND CENTER FOR ANXIETY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE-CLAIRE CORNILLON LICSW (SOCIAL WORKER)
(617) 504-1208
Entity
Organization
Contact information
Practice address
43 BROAD ST, SUITE B, WESTERLY, RI 02891-1977
(401) 596-2302
(401) 596-0088
Mailing address
43 BROAD ST, SUITE B, WESTERLY, RI 02891-1977
(401) 596-2302
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02592
RI
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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