Individual
JEREMY MESSENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1 RICHMOND SQ STE 333C, PROVIDENCE, RI 02906-5139
(401) 441-5834
Mailing address
16 FATIMA DR, BRISTOL, RI 02809-4610
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW03739
RI
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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