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Individual

JEAN CARDONA-GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
160 BEECHWOOD AVE, PAWTUCKET, RI 02860-5402
(401) 722-5573
(401) 726-5571
Mailing address
160 BEECHWOOD AVE, PAWTUCKET, RI 02860-5402
(401) 722-5573
(401) 726-5571

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW000627
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
JC42854
RI
Enumeration date
10/05/2006
Last updated
07/08/2007
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