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Individual

KATHLEEN VITOLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
205 WATERMAN ST STE 106, PROVIDENCE, RI 02906-4313
(401) 441-2833
Mailing address
49 SCOTT DR, RIVERSIDE, RI 02915-2617
(401) 441-2833

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01058
RI

Other

Enumeration date
02/09/2018
Last updated
05/22/2025
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