Individual
KALIMARA OTTO-GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
460 PINE ST, PROVIDENCE, RI 02907-1358
(401) 272-0220
Mailing address
460 PINE ST, PROVIDENCE, RI 02907-1358
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW02281
RI
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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