Individual
CASANDRA MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 528-0110
Mailing address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 528-0110
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
ISW02902
RI
Other
Enumeration date
11/17/2014
Last updated
12/09/2018
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