Individual
SAMUEL REILLY DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1 RICHMOND SQ STE 300E, PROVIDENCE, RI 02906-5160
(401) 785-0040
Mailing address
1 RICHMOND SQ STE 300E, PROVIDENCE, RI 02906-5160
(401) 349-3131
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
000227826
MA
1041C0700X
Clinical Social Worker
CSW03213
RI
1041C0700X
Clinical Social Worker
Primary
ISW04823
RI
Other
Enumeration date
04/11/2022
Last updated
05/13/2026
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