Individual
MARY TURILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
181 CUMBERLAND ST, WOONSOCKET, RI 02895-3301
(401) 235-7000
Mailing address
74 VIVIAN AVE, PAWTUCKET, RI 02860-3316
(401) 724-3954
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01104
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000030466
BLUE CROSS
RI
01
—
406815
BLUE CHIP
RI
01
—
6243014
UNITED HEALTH
RI
05
—
MT17011
—
RI
Enumeration date
10/10/2006
Last updated
07/08/2007
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