Individual
JANE MARY WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
100 LAFAYETTE ST, SUITE 305, PAWTUCKET, RI 02860-6008
(401) 722-9091
(401) 722-5451
Mailing address
100 LAFAYETTE ST, SUITE 305, PAWTUCKET, RI 02860-6008
(401) 722-9091
(401) 722-5451
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00353
RI
Other
Enumeration date
12/02/2006
Last updated
07/08/2007
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