Individual
JENNA MARIE REBELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 WOODLAND AVE, EAST PROVIDENCE, RI 02914-2934
(401) 578-4826
Mailing address
54 WOODLAND AVE, EAST PROVIDENCE, RI 02914-2934
(401) 578-4826
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW02424
RI
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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