Individual
SAMANTHA BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
203 GOVERNOR ST, PROVIDENCE, RI 02906-3221
(401) 648-7408
Mailing address
PO BOX 2704, PROVIDENCE, RI 02906-0971
(401) 648-7408
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
211709
MA
1041C0700X
Clinical Social Worker
Primary
ISW01817
RI
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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