Individual
CAROLINE E OBRECHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
120 WAYLAND AVE, PROVIDENCE, RI 02906
(401) 273-7077
Mailing address
120 WAYLAND AVE, PROVIDENCE, RI 02906
(401) 273-7077
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW01215
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221551
BLUE CROSS
RI
01
—
407738
BLUE CHIP
RI
01
—
6244992
UBH
RI
Enumeration date
10/02/2006
Last updated
04/07/2008
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