Individual
BETTIE GERARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW LICSW
Contact information
Practice address
300 CENTERVILLE ROAD, SUMMIT WEST SUITE 101, WARWICK, RI 02886
(401) 732-4500
(401) 732-7766
Mailing address
300 CENTERVILLE ROAD, SUMMIT WEST SUITE 101, WARWICK, RI 02886
(401) 732-4500
(401) 732-7766
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
00575
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34238
BLUE CROSS BLUE SHIELD
RI
01
—
407854
BLUE CHIP
RI
Enumeration date
10/19/2006
Last updated
07/08/2007
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