Individual
TISH GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
215 WASHINGTON ST, WEST WARWICK, RI 02893-5176
(401) 822-1360
Mailing address
215 WASHINGTON ST, WEST WARWICK, RI 02893-5176
(401) 822-1360
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW01281
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
10/02/2008
Last updated
12/02/2025
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