Individual
JENNA FALLAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
249 ROOSEVELT AVE, PAWTUCKET, RI 02860-2134
(401) 724-8400
Mailing address
132B PLEASANT VIEW AVE, SMITHFIELD, RI 02917-2132
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW03010
RI
Other
Enumeration date
05/19/2017
Last updated
02/25/2021
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