Individual
JESSIE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 THURBERS AVE, PROVIDENCE, RI 02905-4754
(401) 999-0536
Mailing address
134 THURBERS AVE, PROVIDENCE, RI 02905-4754
(401) 999-0536
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
CSW02194
RI
1041C0700X
Clinical Social Worker
Primary
ISW03261
RI
Other
Enumeration date
08/22/2019
Last updated
06/23/2021
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