Individual
KATI MARIE TAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Contact information
Practice address
1035 POST RD, WARWICK, RI 02888-3363
(401) 785-0040
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(401) 785-0040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW01322
RI
1041C0700X
Clinical Social Worker
Primary
ISW03887
RI
Other
Enumeration date
06/22/2012
Last updated
06/16/2025
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