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Individual

CAROLINE IACONO GOJCZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
400 MASSASOIT AVE STE 101, EAST PROVIDENCE, RI 02914-2017
(401) 250-0079
Mailing address
400 MASSASOIT AVE STE 101, EAST PROVIDENCE, RI 02914-2017
(401) 250-0079

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ISW01879
RI
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
212494
MA
1041C0700X
Clinical Social Worker
ISW01879
RI
1041C0700X
Clinical Social Worker

Other

Enumeration date
02/18/2008
Last updated
11/12/2025
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