Individual
ANISSA LATIFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 THURBERS AVE, PROVIDENCE, RI 02905-4754
(401) 660-5205
Mailing address
134 THURBERS AVE, PROVIDENCE, RI 02905-4754
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW03549
RI
Other
Enumeration date
09/10/2018
Last updated
05/17/2022
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