Individual
JILL VAN LEESTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
460 PINE ST, PROVIDENCE, RI 02907-1358
(401) 274-9373
Mailing address
300 YORK AVE APT 4, PAWTUCKET, RI 02860-5835
(404) 964-3202
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW02835
RI
Other
Enumeration date
01/19/2023
Last updated
04/07/2025
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