Individual
JULIA MARIE BUSSOLARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1 RICHMOND SQ STE 103K, PROVIDENCE, RI 02906-5166
(401) 349-3131
(401) 921-5109
Mailing address
200 MAIN ST STE 210, PAWTUCKET, RI 02860-4119
(401) 728-1800
(401) 633-7119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW04323
RI
Other
Enumeration date
04/19/2021
Last updated
07/21/2025
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