Individual
CAROLINE SHANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
153 SUMMER ST, PROVIDENCE, RI 02903-4011
(401) 276-4300
Mailing address
78 CRESCENT ST, PROVIDENCE, RI 02907-3237
(401) 965-2758
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01837
RI
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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