Individual
JEANNETTE DOWNING PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
610 WAMPANOAG TRAIL, EAST PROVIDENCE, RI 02915
(401) 431-9870
Mailing address
338 SOWAMS RD, BARRINGTON, RI 02806
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JD61810
—
RI
Enumeration date
08/25/2006
Last updated
07/08/2007
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