Individual
TARA CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1150 RESERVOIR AVE STE 203, CRANSTON, RI 02920-6043
(401) 259-0430
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW03889
RI
Other
Enumeration date
08/02/2020
Last updated
07/22/2024
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