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Individual

ERICA CHASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
237 FRONT ST, LINCOLN, RI 02865-2035
(401) 475-0653
Mailing address
375 OAK HILL AVE, SEEKONK, MA 02771-1008
(401) 523-2530

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02080
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GH57134
RI
Enumeration date
04/11/2007
Last updated
10/09/2015
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