Individual
MR. MICHAEL NEIL DEROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
101 AIRPORT RD, WESTERLY, RI 02891-3432
(401) 855-0071
Mailing address
101 AIRPORT RD, WESTERLY, RI 02891-3432
(401) 855-0071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01495
RI
Other
Enumeration date
04/20/2006
Last updated
05/02/2019
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