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Individual

CAROLINE C WOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISCW

Contact information

Practice address
21 PEACE ST, PROVIDENCE, RI 02907-1510
(401) 456-4174
Mailing address
200 HIGH SERVICE AVE, 4TH FL. FINANCE DEPT. MARION HALL, N PROVIDENCE, RI 02904-5113
(401) 456-3309
(401) 456-3762

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00152
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00152
LICENSE
RI
Enumeration date
02/27/2008
Last updated
02/27/2008
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