Individual
DARREN CANONICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
68 HARRISON AVE STE 605, BOSTON, MA 02111-1929
(508) 500-6720
Mailing address
376 CARPENTER ST, PROVIDENCE, RI 02909-1426
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/22/2026
Last updated
04/06/2026
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