Individual
ROSA GOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
24 MUSKET RD, LINCOLN, RI 02865-3416
(401) 413-0349
Mailing address
24 MUSKET RD, LINCOLN, RI 02865-3416
(401) 728-5833
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW03829
RI
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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