Individual
SHANNON FERNANDO-COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
830 CHALKSTONE AVE # T-36, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
830 CHALKSTONE AVE # T-36, PROVIDENCE, RI 02908-4734
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW04175
RI
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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