Individual
MRS. CAROLYN SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2974 E MAIN RD, PORTSMOUTH, RI 02871-4232
(401) 293-5790
Mailing address
112 JOHN DUGGAN RD, TIVERTON, RI 02878-1555
(401) 625-5997
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW01000
RI
1041C0700X
Clinical Social Worker
Primary
ISW01968
RI
Other
Enumeration date
11/01/2006
Last updated
03/15/2025
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