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Individual

MS. JAYNA KLATZKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LICSW

Contact information

Practice address
2 REGENCY PLZ, SUITE 12, PROVIDENCE, RI 02903-3160
(401) 297-2021
Mailing address
2 REGENCY PLZ, SUITE 12, PROVIDENCE, RI 02903-3160
(401) 297-2021

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
105041
MA
1041C0700X
Clinical Social Worker
Primary
ISW01631
RI

Other

Enumeration date
03/12/2007
Last updated
04/01/2011
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