Organization
SOUTH COUNTY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA LEWIS LICSW (CLINICAL SOCIAL WORKER)
(401) 829-6164
Entity
Organization
Contact information
Practice address
23 NORTH RD, SUITE A-24, WAKEFIELD, RI 02879-8132
(401) 829-6164
Mailing address
PO BOX 5707, WAKEFIELD, RI 02880-5707
(401) 829-6164
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00655
RI
Other
Enumeration date
01/08/2017
Last updated
01/08/2017
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