Individual
MANDY WITKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 432-1074
Mailing address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 432-1074
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
213892
MA
1041C0700X
Clinical Social Worker
Primary
ISW01931
RI
Other
Enumeration date
09/25/2006
Last updated
10/21/2008
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