Individual
MS. DIANNE DAVIS BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
610 WAMPANOAG TRL, RIVERSIDE, RI 02915-1504
(401) 431-9870
Mailing address
610 WAMPANOAG TRL, RIVERSIDE, RI 02915-1504
(401) 431-9870
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01186
RI
Other
Enumeration date
03/25/2014
Last updated
03/26/2014
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