Organization
THE FIELD CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER FRAGALE LICSW (OWNER)
(401) 400-0159
Entity
Organization
Contact information
Practice address
280 BROADWAY LOWR LEVEL, PROVIDENCE, RI 02903-3007
(401) 400-0159
Mailing address
280 BROADWAY LOWR LEVEL, PROVIDENCE, RI 02903-3007
(401) 400-0159
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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