Individual
MR. FERNANDO BARBOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW,LICSW
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-3062
(401) 444-5711
Mailing address
32 MUSSEL BED SHOAL RD, PORTSMOUTH, RI 02871-2012
(401) 293-0015
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
107670
MA
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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