Individual
ALYSSA CHRISTINE ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
78 BARTON ST, PAWTUCKET, RI 02860-2006
(413) 530-8308
Mailing address
11 WINTER ST, FOXBORO, MA 02035-2508
(413) 530-8308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW04254
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2015
Last updated
10/24/2024
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