Individual
MR. PETER W. MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.I.C.S.W.
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 432-1284
(401) 432-1509
Mailing address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 432-1284
(401) 432-1509
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
111089
MA
1041C0700X
Clinical Social Worker
Primary
ISWO1533
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619096898
NPI
RI
01
—
ISW01533
PROFESSIONAL LICENSE
RI
Enumeration date
03/28/2007
Last updated
10/13/2010
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