Individual
MS. DIANE ELAINE REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4705 OLD POST RD UNIT A, CHARLESTOWN, RI 02813-1842
(401) 364-7705
Mailing address
117 ELLENFILED STREET, SUITE 101, PROVIDENCE, RI 02905-4513
(401) 364-7705
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW03116
RI
1041C0700X
Clinical Social Worker
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235091
—
CT
Enumeration date
07/26/2006
Last updated
03/03/2021
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