Individual
MR. JACQUES IRA JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
272 LOG BRIDGE RD, COVENTRY, RI 02816-4518
(401) 602-1529
Mailing address
272 LOG BRIDGE RD, COVENTRY, RI 02816-4518
(401) 602-1529
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW03345
RI
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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