Individual
SAMANTHA KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 VIRGINIA AVE, PROVIDENCE, RI 02905-4443
(401) 553-1031
Mailing address
1 VIRGINIA AVE, PROVIDENCE, RI 02905-4443
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW02827
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821078932
—
RI
Enumeration date
09/07/2021
Last updated
09/20/2022
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