Individual
JESSICA HORNIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
640 GEORGE WASHINGTON HIGHWAY, BUILDING B, SUITE 103, LINCOLN, RI 02865
(401) 405-4058
Mailing address
640 GEORGE WASHINGTON HIGHWAY, BUILDING B, SUITE 103, LINCOLN, RI 02865
(401) 405-4058
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
119120
MA
1041C0700X
Clinical Social Worker
CSW00815
RI
1041C0700X
Clinical Social Worker
Primary
ISW02586
RI
Other
Enumeration date
10/18/2006
Last updated
02/26/2016
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