Organization
GRANITE BROOK FARM INC.
Active
Other names
Granite Brook Farm Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANELLE L SHANNON LICSW (EXECUTIVE DIRECTOR)
(401) 489-8012
Entity
Organization
Contact information
Practice address
14 HARRINGTON RD, FOSTER, RI 02825-1217
(401) 489-8012
Mailing address
14 HARRINGTON RD, FOSTER, RI 02825-1217
(401) 489-8012
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
01/09/2025
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