Individual
ELISABETH KORNBLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
151 TABER AVE APT 4, PROVIDENCE, RI 02906
(401) 751-5120
Mailing address
151 TABER AVE APT 4, PROVIDENCE, RI 02906-3358
(401) 751-5120
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
106871
MA
Other
Enumeration date
12/29/2005
Last updated
08/27/2018
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