Individual
MALAYSIA TINEZ KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 MAIN ST, PAWTUCKET, RI 02860-4131
(401) 728-1800
Mailing address
50 HEREFORD ST, PROVIDENCE, RI 02908-1526
(401) 588-0383
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW02951
RI
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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