Individual
MR. SERGIO DE CONNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
400 BALD HILL RD, SUITE 510, WARWICK, RI 02886-1617
(401) 732-3637
(401) 732-2875
Mailing address
400 BALD HILL RD, SUITE 510, WARWICK, RI 02886-1617
(401) 732-3637
(401) 732-2875
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW00718
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21077-9
1
RI
01
—
3649930001
3
RI
01
—
62-4472
2
RI
Enumeration date
01/09/2007
Last updated
07/08/2007
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