Individual
JACOB HANDANYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
1130 TEN ROD RD STE B101, NORTH KINGSTOWN, RI 02852-4165
(401) 294-3990
Mailing address
1130 TEN ROD RD STE B101, NORTH KINGSTOWN, RI 02852-4165
(401) 294-3990
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW03844
RI
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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