Individual
MS. KELLIE ANN NASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1150 RESERVOIR AVE STE 203, CRANSTON, RI 02920-6043
(401) 259-0340
Mailing address
1150 RESERVOIR AVE, STE 203, CRANSTON, RI 02920-6043
(401) 259-0340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01598
RI
Other
Enumeration date
11/01/2007
Last updated
11/25/2020
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