Individual
JESSICA S FABIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
640 GEORGE WASHINGTON HIGHWAY, SUITE 103, LINCOLN, RI 02865
(401) 286-1917
Mailing address
6 SNOWBERRY CT, SMITHFIELD, RI 02917-4000
(401) 286-1917
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01847
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JC52646
—
RI
Enumeration date
09/26/2006
Last updated
08/12/2020
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