Individual
HAZER J VASQUEZ REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1090 CRANSTON ST STE 2, CRANSTON, RI 02920-7323
(401) 781-3990
Mailing address
191 CRANSTON ST APT E26, PROVIDENCE, RI 02907-2368
(617) 206-7867
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW03342
RI
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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