Individual
ERIC WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
215 WASHINGTON ST, WEST WARWICK, RI 02893-5017
(401) 822-1360
Mailing address
58 AMERICA ST APT 5, PROVIDENCE, RI 02903-1400
(401) 556-2890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW01600
RI
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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