Individual
RACHEL LEGEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 274-2500
Mailing address
200 HIGH SERVICE AVE, N PROVIDENCE, RI 02904-5113
(401) 456-3496
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW01498
RI
Other
Enumeration date
08/02/2011
Last updated
07/16/2013
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