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SAMANTHA ROSE POLIQUIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
200 MAIN ST, PAWTUCKET, RI 02860-4131
(401) 728-1800
Mailing address
200 MAIN ST, PAWTUCKET, RI 02860-4131
(401) 728-1800

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW02871
RI
1041C0700X
Clinical Social Worker
Primary
ISW04413
RI

Other

Enumeration date
12/23/2022
Last updated
03/19/2026
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