Individual
JOSEFA NICOLE VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1090 CRANSTON ST, CRANSTON, RI 02920-7323
(401) 781-3990
(401) 223-0121
Mailing address
12 MAPLEWOOD AVE FL 1, CRANSTON, RI 02920-7023
(401) 209-7094
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
RI
Other
Enumeration date
11/09/2022
Last updated
12/22/2025
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