Individual
JESSICA MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 WAMPANOAG TRL, RIVERSIDE, RI 02915-1504
(774) 271-4783
Mailing address
145 CLARA ST, NEW BEDFORD, MA 02744-2206
(774) 271-4783
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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