Individual
MELISSA J WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 RICHMOND SQ UNIT 333C, PROVIDENCE, RI 02906-5139
(860) 942-6272
Mailing address
PO BOX 679, DAYVILLE, CT 06241-0679
(860) 942-6272
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW03719
RI
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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