Individual
KRYSTAL AWILDA FERMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
180 CORLISS ST STE E1, PROVIDENCE, RI 02904-2602
(401) 793-2928
Mailing address
22 MILO ST, PROVIDENCE, RI 02909-5950
(401) 654-7197
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW04423
RI
Other
Enumeration date
10/14/2022
Last updated
12/05/2025
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