Individual
MS. JESSICA WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 437-1000
Mailing address
728 BEVERAGE HILL AVE, #19, PAWTUCKET, RI 02861-4473
(508) 846-8981
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
213549
MA
1041C0700X
Clinical Social Worker
Primary
ISW02014
RI
Other
Enumeration date
12/26/2006
Last updated
10/14/2009
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