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Individual

MS. GINA PINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1 RICHMOND SQ STE 130C, PROVIDENCE, RI 02906-5155
(401) 944-2270
Mailing address
479 NEW MEADOW RD, BARRINGTON, RI 02806-2738
(401) 944-2270

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01182
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2278859
CIGNA BEHAVIORAL HEALTH
RI
01
31180-9
BLUE CROSS/BLUE SHIELD
RI
01
413316
BLUE CHIP PRODUCTS
RI
01
62-93351
UNITED BEHAVIORAL HEALTH
RI
Enumeration date
09/25/2006
Last updated
09/23/2024
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