Individual
ALAN EZOVSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
105 WEST SHORE ROAD, WARWICK, RI 02889
(401) 527-3102
Mailing address
5400 POST ROAD, UNIT #5, EAST GREENWICH, RI 02818
(401) 787-4089
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW00948
RI
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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