Individual
VIRGINIA CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
311 DORIC AVE, CRANSTON, RI 02910-2903
(401) 467-9610
Mailing address
311 DORIC AVE, CRANSTON, RI 02910-2903
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW02046
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ISW02046
RI LICENSE
RI
Enumeration date
07/08/2010
Last updated
07/08/2010
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