Individual
JOISE GARZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
600 MOUNT PLEASANT AVE, PROVIDENCE, RI 02908-1940
(401) 456-6320
Mailing address
331 BROADWAY UNIT 202, PROVIDENCE, RI 02909-1101
(401) 376-2363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02608
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790149946
N/A
—
Enumeration date
04/13/2016
Last updated
08/14/2022
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