Individual
MS. CAROLYN WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
345 BLACKSTONE BLVD, W161, PROVIDENCE, RI 02906-4800
(508) 524-1432
Mailing address
14 COVES END RD, MARION, MA 02738-1141
(508) 524-1432
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
110477
MA
1041C0700X
Clinical Social Worker
Primary
ISW01493
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29552-5
BCBSRI
RI
01
—
412602
BLUECHIP
RI
Enumeration date
03/04/2007
Last updated
07/08/2007
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