Individual
MS. AMY J QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 274-1100
(401) 453-7597
Mailing address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW01217
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW01217
RI LICENSE NUMBER
RI
Enumeration date
10/22/2009
Last updated
10/22/2009
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