Individual
ANDREA YATTAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 432-1000
(401) 432-1500
Mailing address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 432-1000
(401) 432-1500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW01120
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AY68891
—
RI
Enumeration date
10/05/2007
Last updated
05/12/2009
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