Individual
CHELSEA MARIE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 RICHMOND SQ, PROVIDENCE, RI 02906-5100
(401) 203-5886
Mailing address
18 WESTDALE ST, WORCESTER, MA 01604-1520
(401) 316-9225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
ISW03791
RI
1041C0700X
Clinical Social Worker
Primary
LICSW126532
MA
Other
Enumeration date
03/31/2023
Last updated
07/17/2023
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