Individual
JESSICA FRESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 432-1000
Mailing address
12 HARRIS AVE, WARREN, RI 02885-2308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
119785
MA
1041C0700X
Clinical Social Worker
Primary
ISW02964
RI
Other
Enumeration date
06/21/2017
Last updated
04/13/2022
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