Individual
KATHLEEN A HIGGINBOTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2894
(401) 793-2078
Mailing address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2894
(401) 793-2078
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ISW01149
RI
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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