Individual
KEITH JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASTERS
Contact information
Practice address
70 EAST ST, CRANSTON, RI 02920-4421
(401) 724-8400
(401) 722-5280
Mailing address
70 EAST ST, CRANSTON, RI 02920-4421
(401) 724-8400
(401) 722-5280
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02722
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
06/10/2014
Last updated
11/13/2017
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