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Individual

ROBIN BOYAJIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
2845 POST ROAD, SUITE 113, WARWICK, RI 02886
(401) 749-3301
(401) 773-7793
Mailing address
137 BURBANK DR, WARWICK, RI 02886-3503
(401) 749-3301
(401) 773-7793

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ISW01127
RI
1041C0700X
Clinical Social Worker
Primary
ISW01127
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22891-6
BLUE SHIELD HMO
RI
01
410576
BLUE CHIP COORDINATED HEA
RI
Enumeration date
03/15/2007
Last updated
10/25/2017
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