Individual
MS. MARTHA JANE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1130 TEN ROD RD, BLDG C SUITE 205B THE MEADOWS, NORTH KINGSTOWN, RI 02852
(401) 295-4647
(401) 295-4648
Mailing address
1130 TEN ROD RD, BLDG C SUITE 205B THE MEADOWS, NORTH KINGSTOWN, RI 02852
(401) 295-4647
(401) 295-4648
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
RIHARM2090
RI
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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