Individual
MS. ILEANA ROSA VALENTIN-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCWS
Contact information
Practice address
195 ENFIELD AVE, PROVIDENCE, RI 02908-1238
(401) 578-3293
Mailing address
195 ENFIELD AVE, PROVIDENCE, RI 02908-1238
(401) 578-3293
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW00805
RI
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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