Individual
CLAUDETTE BANNERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1471 ELMWOOD AVE, CRANSTON, RI 02910-3849
(401) 490-7694
Mailing address
70 NASHUA ST, APT 2, PROVIDENCE, RI 02904-1870
(401) 742-7211
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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