Individual
MR. MICHAEL LAWRENCE VENEZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
125 11TH ST, PROVIDENCE, RI 02906-2911
(917) 880-9676
Mailing address
1563 N MAIN ST, FALL RIVER, MA 02720-2983
(774) 322-1712
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
119222
MA
Other
Enumeration date
07/15/2012
Last updated
01/21/2016
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