Individual
MR. ROBERT B MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
103 BACON ST, PAWTUCKET, RI 02860-5542
(401) 728-3750
Mailing address
249 ROOSEVELT AVENUE, SUITE 205 GATWAY HEALTHCARE INC, PAWTUCKET, RI 02860
(401) 724-8400
(401) 365-1100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1SW00225
RI
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30589
BC
RI
01
—
407698
B CHIP
RI
05
—
RM20115
—
RI
Enumeration date
05/03/2006
Last updated
03/11/2013
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