Individual
CARISSA MARIE DEMELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
575 E MAIN RD UNIT 2, MIDDLETOWN, RI 02842-5288
(401) 271-3414
Mailing address
70 JACQUELINE WAY, TIVERTON, RI 02878-2783
(401) 472-4889
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
221169
MA
1041C0700X
Clinical Social Worker
CSW01861
RI
Other
Enumeration date
12/15/2016
Last updated
03/16/2024
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