Organization
JOHN E ANZIVINO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN EDWARD ANZIVINO MSW, ACSW (CLINICAL SOCIAL WORKER)
(401) 225-2224
Entity
Organization
Contact information
Practice address
267 MAIN ST, EAST GREENWICH, RI 02818-3750
(401) 225-2224
Mailing address
12 SURREY DR, JOHNSTON, RI 02919-2073
(401) 225-2224
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00123
RI
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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