Individual
TIANA T OCHOA TEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1 RICHMOND SQ STE 333W, PROVIDENCE, RI 02906-5156
(401) 692-4353
Mailing address
390 BROADWAY UNIT 1, PROVIDENCE, RI 02909-1468
(401) 692-4353
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02776
RI
Other
Enumeration date
09/12/2011
Last updated
02/27/2026
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