Individual
AMY BASILICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
800 CLINTON ST, WOONSOCKET, RI 02895-3245
(401) 235-7469
(401) 767-4516
Mailing address
PO BOX 1700, WOONSOCKET, RI 02895-0856
(401) 235-7469
(401) 767-4516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW01980
RI
Other
Enumeration date
01/11/2017
Last updated
04/27/2017
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