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Individual

MS. MARY KATHERINE DIXON-STANDARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LICSW

Contact information

Practice address
2020 ELMWOOD AVE, WARWICK, RI 02888-2404
(401) 781-2700
Mailing address
2020 ELMWOOD AVE, WARWICK, RI 02888
(401) 781-2700
(401) 781-2790

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ISW01404
RI
101YA0400X
Addiction (Substance Use Disorder) Counselor
ISW01464
RI
101YM0800X
Mental Health Counselor
ISW01464
RI
1041C0700X
Clinical Social Worker
Primary
ISW01464
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4201380
RI
Enumeration date
06/08/2007
Last updated
11/26/2013
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