Individual
JUSTIN RYAN FEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
40 SAMOSET AVE, PROVIDENCE, RI 02908-3816
(774) 955-2663
Mailing address
40 SAMOSET AVE, PROVIDENCE, RI 02908-3816
(774) 955-2663
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW03685
RI
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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