Individual
CATHY BOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
245 CHAPMAN ST STE 300, PROVIDENCE, RI 02905-4539
(401) 444-4653
Mailing address
245 CHAPMAN ST, PROVIDENCE, RI 02905-4539
(401) 444-4741
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02574
RI
Other
Enumeration date
06/08/2016
Last updated
03/15/2024
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