Individual
JACLYN HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1069 WARWICK AVE, WARWICK, RI 02888-3544
(401) 208-2055
Mailing address
1069 WARWICK AVE, WARWICK, RI 02888-3544
(401) 208-2055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW03178
RI
Other
Enumeration date
12/21/2020
Last updated
10/09/2023
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