Individual
RUTH J WARTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
650 BRANCH AVE STE 6, PROVIDENCE, RI 02904-1728
(401) 233-5055
Mailing address
PO BOX 746088, ATLANTA, GA 30374-6088
(469) 727-6675
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02174
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
01/13/2009
Last updated
04/29/2024
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