Individual
SANDRA MORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW,BC
Contact information
Practice address
345 BLACKSTONE BLVD, WELD BLDG, PROVIDENCE, RI 02906-4800
(401) 421-0060
(401) 421-6676
Mailing address
319 BEECH ST, HOLYOKE, MA 01040-3968
(413) 540-1155
Taxonomy
Speciality
Code
Description
License number
State
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN181049
MA
Other
Enumeration date
11/03/2006
Last updated
12/08/2015
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