Individual
LOUIS J COLLIGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
50 HEALTH LN, WARWICK, RI 02886-2711
(401) 738-4300
(401) 738-7718
Mailing address
30 TIVOLI CT, WARWICK, RI 02886-9117
(401) 738-4300
(401) 738-7718
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
107446
MA
1041C0700X
Clinical Social Worker
Primary
ISW00519
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30128-4
BLUE CROSS
RI
01
—
406379
BLUE CHIP
RI
01
—
62-48398
UBH
RI
05
—
LC03241
—
RI
Enumeration date
08/01/2006
Last updated
07/09/2007
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